Provider Demographics
NPI:1699226217
Name:CARING SLP, PSYCHOLOGY, OT & NUTRITION SERVICES, PLLC
Entity Type:Organization
Organization Name:CARING SLP, PSYCHOLOGY, OT & NUTRITION SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:YVONNE
Authorized Official - Middle Name:
Authorized Official - Last Name:PASQUALICCHIO
Authorized Official - Suffix:
Authorized Official - Credentials:MA ED
Authorized Official - Phone:804-544-1086
Mailing Address - Street 1:17 N PLANK RD
Mailing Address - Street 2:SUITE 10
Mailing Address - City:NEWBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12550-2111
Mailing Address - Country:US
Mailing Address - Phone:804-544-1086
Mailing Address - Fax:844-800-1470
Practice Address - Street 1:17 N PLANK RD
Practice Address - Street 2:SUITE 10
Practice Address - City:NEWBURGH
Practice Address - State:NY
Practice Address - Zip Code:12550-2111
Practice Address - Country:US
Practice Address - Phone:804-544-1086
Practice Address - Fax:844-800-1470
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-18
Last Update Date:2016-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Multi-Specialty