Provider Demographics
NPI:1437480290
Name:ALL IN 1 SPOT WITH THERATALK SLP, PT, OT, PSYCHOLOGY PLLC
Entity Type:Organization
Organization Name:ALL IN 1 SPOT WITH THERATALK SLP, PT, OT, PSYCHOLOGY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:IRENE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHRISTOFOROU-GIOULES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-767-0091
Mailing Address - Street 1:15050 14TH RD
Mailing Address - Street 2:
Mailing Address - City:WHITESTONE
Mailing Address - State:NY
Mailing Address - Zip Code:11357-2607
Mailing Address - Country:US
Mailing Address - Phone:718-767-0091
Mailing Address - Fax:718-767-0086
Practice Address - Street 1:15050 14TH RD
Practice Address - Street 2:
Practice Address - City:WHITESTONE
Practice Address - State:NY
Practice Address - Zip Code:11357
Practice Address - Country:US
Practice Address - Phone:718-767-0091
Practice Address - Fax:718-767-0086
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-19
Last Update Date:2018-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty