Provider Demographics
NPI:1346411717
Name:PRINCETON SPEECH LANGUAGE AND LEARNING CENTER
Entity Type:Organization
Organization Name:PRINCETON SPEECH LANGUAGE AND LEARNING CENTER
Other - Org Name:PRINCETON SPEECH LANGUAGE AND LEARNING CENTER LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CAROLE
Authorized Official - Middle Name:
Authorized Official - Last Name:DRURY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-924-7080
Mailing Address - Street 1:615 EXECUTIVE DR
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-1528
Mailing Address - Country:US
Mailing Address - Phone:609-924-7080
Mailing Address - Fax:609-924-6563
Practice Address - Street 1:615 EXECUTIVE DR
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-1528
Practice Address - Country:US
Practice Address - Phone:609-924-7080
Practice Address - Fax:609-924-6563
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-13
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty