Provider Demographics
NPI:1437731114
Name:COMMUNICATION PLAYROOM LLC
Entity Type:Organization
Organization Name:COMMUNICATION PLAYROOM LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:
Authorized Official - Last Name:DIEKHOFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-883-7275
Mailing Address - Street 1:398 STONEYBROOK GROVE DR
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46142-2113
Mailing Address - Country:US
Mailing Address - Phone:317-883-7175
Mailing Address - Fax:
Practice Address - Street 1:398 STONEYBROOK GROVE DR
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:IN
Practice Address - Zip Code:46142-2113
Practice Address - Country:US
Practice Address - Phone:317-883-7175
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-22
Last Update Date:2021-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty