Provider Demographics
NPI:1346505369
Name:FOUNDATIONS SPEECH AND LANGUAGE SERVICES LLC
Entity Type:Organization
Organization Name:FOUNDATIONS SPEECH AND LANGUAGE SERVICES LLC
Other - Org Name:THERAPY TOOLBOX
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDSAY
Authorized Official - Middle Name:C
Authorized Official - Last Name:DICKINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-693-0527
Mailing Address - Street 1:725 JACKSON ST
Mailing Address - Street 2:SUITE 218
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22401-5761
Mailing Address - Country:US
Mailing Address - Phone:540-693-0527
Mailing Address - Fax:540-319-5454
Practice Address - Street 1:725 JACKSON ST
Practice Address - Street 2:SUITE 218
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22401-5761
Practice Address - Country:US
Practice Address - Phone:540-693-0527
Practice Address - Fax:540-319-5454
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-05
Last Update Date:2012-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202005097235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty