Provider Demographics
NPI:1609176296
Name:CABSLP, INC
Entity Type:Organization
Organization Name:CABSLP, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:CARLA
Authorized Official - Middle Name:A
Authorized Official - Last Name:BERNIER
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-SLP
Authorized Official - Phone:413-773-5008
Mailing Address - Street 1:109 BEACON ST
Mailing Address - Street 2:
Mailing Address - City:GREENFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01301-2603
Mailing Address - Country:US
Mailing Address - Phone:413-773-5008
Mailing Address - Fax:413-586-1946
Practice Address - Street 1:1 ROUNDHOUSE PLZ STE 202203
Practice Address - Street 2:SUITE 203
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-4401
Practice Address - Country:US
Practice Address - Phone:413-586-1945
Practice Address - Fax:413-586-1946
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-28
Last Update Date:2010-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2099174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1427082205OtherNPI