Provider Demographics
NPI:1386199040
Name:CHARIS LEARNING CENTER
Entity Type:Organization
Organization Name:CHARIS LEARNING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/SLP
Authorized Official - Prefix:MS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:B
Authorized Official - Last Name:ASPER
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC-SLP
Authorized Official - Phone:802-233-5714
Mailing Address - Street 1:659 CODDING HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:JOHNSON
Mailing Address - State:VT
Mailing Address - Zip Code:05656-9683
Mailing Address - Country:US
Mailing Address - Phone:802-233-5714
Mailing Address - Fax:
Practice Address - Street 1:213 VT ROUTE 15
Practice Address - Street 2:
Practice Address - City:JERICHO
Practice Address - State:VT
Practice Address - Zip Code:05465-9639
Practice Address - Country:US
Practice Address - Phone:802-497-8725
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-23
Last Update Date:2016-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT144.0116163174H00000X, 235Z00000X
VT072.0000286174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty