Provider Demographics
NPI:1467963439
Name:ALL STAR SPEECH THERAPY, LLC
Entity Type:Organization
Organization Name:ALL STAR SPEECH THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:CALABRO
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-SLP
Authorized Official - Phone:973-798-4000
Mailing Address - Street 1:386 FRANKLIN AVE
Mailing Address - Street 2:
Mailing Address - City:NUTLEY
Mailing Address - State:NJ
Mailing Address - Zip Code:07110-1646
Mailing Address - Country:US
Mailing Address - Phone:973-798-4000
Mailing Address - Fax:973-661-9322
Practice Address - Street 1:386 FRANKLIN AVE
Practice Address - Street 2:
Practice Address - City:NUTLEY
Practice Address - State:NJ
Practice Address - Zip Code:07110-1646
Practice Address - Country:US
Practice Address - Phone:973-798-4000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-18
Last Update Date:2017-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty