Provider Demographics
NPI:1689039927
Name:CENTER FOR COMMUNICATION COGNITION AND SWALLOWING LLP
Entity Type:Organization
Organization Name:CENTER FOR COMMUNICATION COGNITION AND SWALLOWING LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SLP PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:TAMMARA
Authorized Official - Middle Name:
Authorized Official - Last Name:CARRARA
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC-SLP
Authorized Official - Phone:802-772-0172
Mailing Address - Street 1:25 CURTIS AVE
Mailing Address - Street 2:
Mailing Address - City:RUTLAND
Mailing Address - State:VT
Mailing Address - Zip Code:05701-4866
Mailing Address - Country:US
Mailing Address - Phone:802-772-0172
Mailing Address - Fax:888-751-6009
Practice Address - Street 1:25 CURTIS AVE
Practice Address - Street 2:
Practice Address - City:RUTLAND
Practice Address - State:VT
Practice Address - Zip Code:05701-4866
Practice Address - Country:US
Practice Address - Phone:802-772-0172
Practice Address - Fax:888-751-6009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-30
Last Update Date:2023-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT144.0114363235Z00000X
VT144.0115174235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty