Provider Demographics
NPI:1497365753
Name:LISTEN-THINK-SPEECH THERAPY SERVICES PC
Entity Type:Organization
Organization Name:LISTEN-THINK-SPEECH THERAPY SERVICES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:LORI
Authorized Official - Middle Name:JILL
Authorized Official - Last Name:EGOL
Authorized Official - Suffix:
Authorized Official - Credentials:MS,CCC-SLP
Authorized Official - Phone:914-844-4446
Mailing Address - Street 1:5 WINTHROP DR
Mailing Address - Street 2:
Mailing Address - City:RYE BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:10573-1442
Mailing Address - Country:US
Mailing Address - Phone:914-844-4446
Mailing Address - Fax:
Practice Address - Street 1:5 WINTHROP DR
Practice Address - Street 2:
Practice Address - City:RYE BROOK
Practice Address - State:NY
Practice Address - Zip Code:10573-1442
Practice Address - Country:US
Practice Address - Phone:914-844-4446
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-03
Last Update Date:2020-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty