Provider Demographics
NPI:1417137555
Name:ALPHABET SOUP, INC
Entity Type:Organization
Organization Name:ALPHABET SOUP, INC
Other - Org Name:ALPHABET SOUP
Other - Org Type:Other Name
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:PRICE
Authorized Official - Last Name:HOSKINS
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:401-295-2955
Mailing Address - Street 1:3 E HAMPTON RD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:MARLBOROUGH
Mailing Address - State:CT
Mailing Address - Zip Code:06447-1447
Mailing Address - Country:US
Mailing Address - Phone:401-295-2955
Mailing Address - Fax:
Practice Address - Street 1:3 E HAMPTON RD
Practice Address - Street 2:SUITE 3
Practice Address - City:MARLBOROUGH
Practice Address - State:CT
Practice Address - Zip Code:06447-1447
Practice Address - Country:US
Practice Address - Phone:401-295-2955
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-06
Last Update Date:2012-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT003435235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty