Provider Demographics
NPI:1417006537
Name:ABIGAIL B JAFFE AND CARLA A BERNIER
Entity Type:Organization
Organization Name:ABIGAIL B JAFFE AND CARLA A BERNIER
Other - Org Name:COMMUNICATION THERAPY ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MS
Authorized Official - First Name:ABIGAIL
Authorized Official - Middle Name:B
Authorized Official - Last Name:JAFFE
Authorized Official - Suffix:
Authorized Official - Credentials:MA CCCSLP
Authorized Official - Phone:413-586-1945
Mailing Address - Street 1:15 BREWSTER CT
Mailing Address - Street 2:
Mailing Address - City:NORTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01060-3801
Mailing Address - Country:US
Mailing Address - Phone:413-586-1945
Mailing Address - Fax:413-586-1946
Practice Address - Street 1:15 BREWSTER CT
Practice Address - Street 2:
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-3801
Practice Address - Country:US
Practice Address - Phone:413-586-1945
Practice Address - Fax:413-586-1946
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2013-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MASG0039OtherBLUE CROSS BLUE SHIELD