Provider Demographics
NPI:1528583523
Name:KINDER SPEECH THERAPY LLC
Entity Type:Organization
Organization Name:KINDER SPEECH THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDING PRESIDENT AND SLP
Authorized Official - Prefix:
Authorized Official - First Name:ELYSE
Authorized Official - Middle Name:
Authorized Official - Last Name:MANDART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-297-4143
Mailing Address - Street 1:28 BIRCH RD
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-5225
Mailing Address - Country:US
Mailing Address - Phone:267-297-4143
Mailing Address - Fax:
Practice Address - Street 1:28 BIRCH RD
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-5225
Practice Address - Country:US
Practice Address - Phone:267-297-4143
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-10
Last Update Date:2019-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty