Provider Demographics
NPI:1619332905
Name:UPWORDS THERAPY
Entity Type:Organization
Organization Name:UPWORDS THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MELONIE
Authorized Official - Middle Name:
Authorized Official - Last Name:KREPEL
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:917-434-5139
Mailing Address - Street 1:107 CANARY DR
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-5456
Mailing Address - Country:US
Mailing Address - Phone:917-434-5139
Mailing Address - Fax:
Practice Address - Street 1:107 CANARY DR
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-5456
Practice Address - Country:US
Practice Address - Phone:917-434-5139
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-30
Last Update Date:2015-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty