Provider Demographics
NPI:1508269408
Name:COMMUNICATION, LANGUAGE AND SPEECH SERVICES, INC.
Entity Type:Organization
Organization Name:COMMUNICATION, LANGUAGE AND SPEECH SERVICES, INC.
Other - Org Name:CLASS, INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:BECKETT
Authorized Official - Last Name:HERRINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:253-874-9300
Mailing Address - Street 1:23620 63RD AVE SW
Mailing Address - Street 2:
Mailing Address - City:VASHON
Mailing Address - State:WA
Mailing Address - Zip Code:98070-7253
Mailing Address - Country:US
Mailing Address - Phone:253-874-9300
Mailing Address - Fax:
Practice Address - Street 1:535 DOCK ST
Practice Address - Street 2:104
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98402-4614
Practice Address - Country:US
Practice Address - Phone:253-874-9300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-06
Last Update Date:2014-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WASLPI.SI.60507572235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WASLPI.SI.60507572OtherSTATE DEPT HEALTH