Provider Demographics
NPI:1619541679
Name:CREATIVE COMMUNICATION, LLC
Entity Type:Organization
Organization Name:CREATIVE COMMUNICATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SLP
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:CAHALANE
Authorized Official - Suffix:
Authorized Official - Credentials:CCC-SLP
Authorized Official - Phone:413-200-2500
Mailing Address - Street 1:349 SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:NORTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01060-4124
Mailing Address - Country:US
Mailing Address - Phone:413-200-2500
Mailing Address - Fax:413-553-5444
Practice Address - Street 1:349 SOUTH ST
Practice Address - Street 2:
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-4124
Practice Address - Country:US
Practice Address - Phone:413-200-2500
Practice Address - Fax:413-553-5444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-14
Last Update Date:2021-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty