Provider Demographics
NPI:1497250088
Name:COMMUNICATE SPEECH & LANGUAGE THERAPY
Entity Type:Organization
Organization Name:COMMUNICATE SPEECH & LANGUAGE THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:KRAKOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:845-499-1297
Mailing Address - Street 1:9 MONTANA DR
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:NJ
Mailing Address - Zip Code:08527-2116
Mailing Address - Country:US
Mailing Address - Phone:845-499-1297
Mailing Address - Fax:
Practice Address - Street 1:9 MONTANA DR
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:NJ
Practice Address - Zip Code:08527-2116
Practice Address - Country:US
Practice Address - Phone:845-499-1297
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-27
Last Update Date:2018-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty