Provider Demographics
NPI:1710454392
Name:ASSISTIVE LEARNING TECHNOLOGY CONSULTING LLC
Entity Type:Organization
Organization Name:ASSISTIVE LEARNING TECHNOLOGY CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONSULTANT/TRAINER/ADVOCATE
Authorized Official - Prefix:MRS
Authorized Official - First Name:KENDRA
Authorized Official - Middle Name:KATHERINE
Authorized Official - Last Name:WOLLERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-862-1480
Mailing Address - Street 1:922 NW CIRCLE BLVD STE 160-199
Mailing Address - Street 2:
Mailing Address - City:CORVALLIS
Mailing Address - State:OR
Mailing Address - Zip Code:97330-1483
Mailing Address - Country:US
Mailing Address - Phone:541-862-1480
Mailing Address - Fax:
Practice Address - Street 1:918 NW RAINTREE DR
Practice Address - Street 2:
Practice Address - City:CORVALLIS
Practice Address - State:OR
Practice Address - Zip Code:97330-9769
Practice Address - Country:US
Practice Address - Phone:541-862-1480
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-31
Last Update Date:2018-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty