Provider Demographics
NPI:1831672575
Name:EARLY OPPORTUNITIES WITH LANGUAGE AND SPEECH (EARLY O.W.L.S.)
Entity Type:Organization
Organization Name:EARLY OPPORTUNITIES WITH LANGUAGE AND SPEECH (EARLY O.W.L.S.)
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, SOLE PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:DEENEY
Authorized Official - Suffix:
Authorized Official - Credentials:MA,CCC-SLP
Authorized Official - Phone:585-943-9871
Mailing Address - Street 1:4 CHASE VIEW RD
Mailing Address - Street 2:
Mailing Address - City:FAIRPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14450-9700
Mailing Address - Country:US
Mailing Address - Phone:585-943-9871
Mailing Address - Fax:
Practice Address - Street 1:4 CHASE VIEW RD
Practice Address - Street 2:
Practice Address - City:FAIRPORT
Practice Address - State:NY
Practice Address - Zip Code:14450-9700
Practice Address - Country:US
Practice Address - Phone:585-943-9871
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-10
Last Update Date:2018-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency