Provider Demographics
NPI:1710673033
Name:CRIST EARLY LANGUAGE CENTER, LLC
Entity Type:Organization
Organization Name:CRIST EARLY LANGUAGE CENTER, LLC
Other - Org Name:CRIST EARLY LANGUAGE CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:HILARY
Authorized Official - Middle Name:AYERS
Authorized Official - Last Name:CRIST
Authorized Official - Suffix:
Authorized Official - Credentials:MS ED, SLP
Authorized Official - Phone:785-251-3125
Mailing Address - Street 1:401 S MAIN ST STE 109
Mailing Address - Street 2:
Mailing Address - City:OTTAWA
Mailing Address - State:KS
Mailing Address - Zip Code:66067-2300
Mailing Address - Country:US
Mailing Address - Phone:785-251-3125
Mailing Address - Fax:785-699-7862
Practice Address - Street 1:401 S MAIN ST STE 109
Practice Address - Street 2:
Practice Address - City:OTTAWA
Practice Address - State:KS
Practice Address - Zip Code:66067-2300
Practice Address - Country:US
Practice Address - Phone:785-251-3125
Practice Address - Fax:785-699-7862
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-11
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty