Provider Demographics
NPI:1891196226
Name:CLIMBING LADDERS SPEECH-LANGUAGE THERAPY, LLC
Entity Type:Organization
Organization Name:CLIMBING LADDERS SPEECH-LANGUAGE THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:M
Authorized Official - Last Name:RAU
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:440-227-9176
Mailing Address - Street 1:20330 COLLEEN CT
Mailing Address - Street 2:
Mailing Address - City:STRONGSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44149-0930
Mailing Address - Country:US
Mailing Address - Phone:440-227-9176
Mailing Address - Fax:
Practice Address - Street 1:20330 COLLEEN CT
Practice Address - Street 2:
Practice Address - City:STRONGSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44149-0930
Practice Address - Country:US
Practice Address - Phone:440-227-9176
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-04
Last Update Date:2014-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRT531635235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty