Provider Demographics
NPI:1417637851
Name:RISE COMMUNICATION CLINIC PLLC
Entity Type:Organization
Organization Name:RISE COMMUNICATION CLINIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LILLIAN
Authorized Official - Middle Name:SELIGMANN
Authorized Official - Last Name:PARKER-OTT
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:917-327-4393
Mailing Address - Street 1:119 BLACK BIRCH TRL
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01062-3611
Mailing Address - Country:US
Mailing Address - Phone:917-327-4393
Mailing Address - Fax:
Practice Address - Street 1:2 BAY RD STE 202
Practice Address - Street 2:
Practice Address - City:HADLEY
Practice Address - State:MA
Practice Address - Zip Code:01035-9511
Practice Address - Country:US
Practice Address - Phone:917-327-4393
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-20
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty