Provider Demographics
NPI:1558429795
Name:LEARNING & COMMUNICATION THERAPY SERVICES INC
Entity Type:Organization
Organization Name:LEARNING & COMMUNICATION THERAPY SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:BETSY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:EAGER KESSEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-556-5554
Mailing Address - Street 1:2698 MORGANS WALK
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30064-7518
Mailing Address - Country:US
Mailing Address - Phone:404-556-5554
Mailing Address - Fax:770-428-2112
Practice Address - Street 1:2698 MORGANS WALK
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30064-7518
Practice Address - Country:US
Practice Address - Phone:404-556-5554
Practice Address - Fax:770-428-2112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GASLP572235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00609056FMedicaid