Provider Demographics
NPI:1881229698
Name:SPEECH THERAPY PLUS
Entity Type:Organization
Organization Name:SPEECH THERAPY PLUS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHERNOVA
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:201-509-8200
Mailing Address - Street 1:1623 3RD AVE APT 33J
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-3645
Mailing Address - Country:US
Mailing Address - Phone:201-509-8205
Mailing Address - Fax:201-857-5766
Practice Address - Street 1:1623 3RD AVE APT 33J
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-3645
Practice Address - Country:US
Practice Address - Phone:201-509-8205
Practice Address - Fax:201-857-5766
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-12
Last Update Date:2020-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty