Provider Demographics
| NPI: | 1841431509 |
|---|---|
| Name: | HEAR 2 LEARN PLLC AUDIOLOGY AND SPEECH/LANGUAGE PATHOLOGY |
| Entity type: | Organization |
| Organization Name: | HEAR 2 LEARN PLLC AUDIOLOGY AND SPEECH/LANGUAGE PATHOLOGY |
| Other - Org Name: | <UNAVAIL> |
| Other - Org Type: | |
| Authorized Official - Title/Position: | MANAGING MEMBER |
| Authorized Official - Prefix: | DR |
| Authorized Official - First Name: | ARLENE |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | BALESTRA-MARKO |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | AUD |
| Authorized Official - Phone: | 315-701-5710 |
| Mailing Address - Street 1: | 6575 KIRKVILLE RD |
| Mailing Address - Street 2: | |
| Mailing Address - City: | EAST SYRACUSE |
| Mailing Address - State: | NY |
| Mailing Address - Zip Code: | 13057-9809 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 315-701-5710 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 6575 KIRKVILLE RD |
| Practice Address - Street 2: | |
| Practice Address - City: | EAST SYRACUSE |
| Practice Address - State: | NY |
| Practice Address - Zip Code: | 13057-9809 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 315-701-5710 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2009-03-10 |
| Last Update Date: | 2011-04-20 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| NY | 103TS0200X, 103TF0000X, 237600000X, 231H00000X, 231HA2500X, 235Z00000X, 225X00000X, 225XP0200X, 2251P0200X | |
| NY | 001673 | 252Y00000X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 252Y00000X | Agencies | Early Intervention Provider Agency | Group - Multi-Specialty | |
| No | 103TS0200X | Behavioral Health & Social Service Providers | Psychologist | School | Group - Multi-Specialty |
| No | 103TF0000X | Behavioral Health & Social Service Providers | Psychologist | Family | Group - Multi-Specialty |
| No | 237600000X | Speech, Language and Hearing Service Providers | Audiologist-Hearing Aid Fitter | Group - Multi-Specialty | |
| No | 231H00000X | Speech, Language and Hearing Service Providers | Audiologist | Group - Multi-Specialty | |
| No | 231HA2500X | Speech, Language and Hearing Service Providers | Audiologist | Assistive Technology Supplier | Group - Multi-Specialty |
| No | 235Z00000X | Speech, Language and Hearing Service Providers | Speech-Language Pathologist | Group - Multi-Specialty | |
| No | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Group - Multi-Specialty | |
| No | 225XP0200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Pediatrics | Group - Multi-Specialty |
| No | 2251P0200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Pediatrics | Group - Multi-Specialty |