Provider Demographics
NPI:1528367380
Name:LANGUAGE LEARNERS, LLC
Entity Type:Organization
Organization Name:LANGUAGE LEARNERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JERILYN
Authorized Official - Middle Name:E
Authorized Official - Last Name:AGNESS
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC-SLP
Authorized Official - Phone:239-225-3682
Mailing Address - Street 1:1544 CANAL ST
Mailing Address - Street 2:
Mailing Address - City:LEHIGH ACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33936-5300
Mailing Address - Country:US
Mailing Address - Phone:239-225-3682
Mailing Address - Fax:239-368-3622
Practice Address - Street 1:1544 CANAL ST
Practice Address - Street 2:
Practice Address - City:LEHIGH ACRES
Practice Address - State:FL
Practice Address - Zip Code:33936-5300
Practice Address - Country:US
Practice Address - Phone:239-225-3682
Practice Address - Fax:239-368-3622
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-19
Last Update Date:2011-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA9847235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty