Provider Demographics
NPI:1598300576
Name:COGITO SPEECH THERAPY PLLC
Entity Type:Organization
Organization Name:COGITO SPEECH THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHANDRA
Authorized Official - Middle Name:L
Authorized Official - Last Name:WELLS
Authorized Official - Suffix:
Authorized Official - Credentials:CCC-SLP
Authorized Official - Phone:518-417-1786
Mailing Address - Street 1:33 BETWOOD ST
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12209-1202
Mailing Address - Country:US
Mailing Address - Phone:518-417-1786
Mailing Address - Fax:518-708-6961
Practice Address - Street 1:33 BETWOOD ST
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12209-1202
Practice Address - Country:US
Practice Address - Phone:518-417-1786
Practice Address - Fax:518-708-6961
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-13
Last Update Date:2019-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency