Provider Demographics
NPI:1912216086
Name:THERAPEUTIC LINKS INC.
Entity Type:Organization
Organization Name:THERAPEUTIC LINKS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:TANIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MORALES-VELAZQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:CCC/SLP/TSHH
Authorized Official - Phone:347-398-8358
Mailing Address - Street 1:3942 E TREMONT AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10465-2902
Mailing Address - Country:US
Mailing Address - Phone:347-398-8358
Mailing Address - Fax:
Practice Address - Street 1:3942 E TREMONT AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10465-2902
Practice Address - Country:US
Practice Address - Phone:347-398-8358
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-06
Last Update Date:2010-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0143411251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1225349962Medicaid
NY1528204310Medicaid
NY1003121583Medicaid
NY1871738716Medicaid
NY1033363320Medicaid