Provider Demographics
NPI:1477753234
Name:EDUCATIONAL OPTIONS, LLC
Entity Type:Organization
Organization Name:EDUCATIONAL OPTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SP-LANGUAGE PATHOLOGIST/THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:JAN
Authorized Official - Middle Name:SCHINKEL
Authorized Official - Last Name:ROBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:TSSH, MS, CCC-SLP
Authorized Official - Phone:610-562-7773
Mailing Address - Street 1:435 NORTHMONT AVE
Mailing Address - Street 2:
Mailing Address - City:HAMBURG
Mailing Address - State:PA
Mailing Address - Zip Code:19526-1434
Mailing Address - Country:US
Mailing Address - Phone:610-562-7773
Mailing Address - Fax:
Practice Address - Street 1:435 NORTHMONT AVE
Practice Address - Street 2:
Practice Address - City:HAMBURG
Practice Address - State:PA
Practice Address - Zip Code:19526-1434
Practice Address - Country:US
Practice Address - Phone:610-562-7773
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-20
Last Update Date:2012-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL008648235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty