Provider Demographics
NPI:1639593015
Name:TREE OF KNOWLEDGE LEARNING CENTERS
Entity Type:Organization
Organization Name:TREE OF KNOWLEDGE LEARNING CENTERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MORDECHAI
Authorized Official - Middle Name:
Authorized Official - Last Name:SALFER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:216-851-2221
Mailing Address - Street 1:736 LAKEVIEW RD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44108-2608
Mailing Address - Country:US
Mailing Address - Phone:216-851-2221
Mailing Address - Fax:216-541-2018
Practice Address - Street 1:1855 S TAYLOR RD
Practice Address - Street 2:
Practice Address - City:CLEVELAND HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44118-2161
Practice Address - Country:US
Practice Address - Phone:216-904-6178
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-06
Last Update Date:2014-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS1303564104100000X
OHOT.004080225X00000X
OHSP.0022235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty