Provider Demographics
NPI:1659038628
Name:COMMUNICATION RESTORATION, PLLC
Entity Type:Organization
Organization Name:COMMUNICATION RESTORATION, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, SLP
Authorized Official - Prefix:
Authorized Official - First Name:JANELLA
Authorized Official - Middle Name:S
Authorized Official - Last Name:CLARKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-365-4483
Mailing Address - Street 1:2235 FREWIN CT
Mailing Address - Street 2:
Mailing Address - City:SEVIERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37876-2594
Mailing Address - Country:US
Mailing Address - Phone:765-441-2090
Mailing Address - Fax:865-381-1484
Practice Address - Street 1:2190 WINFIELD DUNN PKWY
Practice Address - Street 2:
Practice Address - City:SEVIERVILLE
Practice Address - State:TN
Practice Address - Zip Code:37876-0502
Practice Address - Country:US
Practice Address - Phone:865-365-4483
Practice Address - Fax:865-381-1484
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-24
Last Update Date:2022-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty