Provider Demographics
NPI:1982012795
Name:RAINBOW SPEECH THERAPY AND CONSULTATION LLC
Entity Type:Organization
Organization Name:RAINBOW SPEECH THERAPY AND CONSULTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CARA
Authorized Official - Middle Name:
Authorized Official - Last Name:CILENTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-519-1989
Mailing Address - Street 1:80 POMPTON AVE
Mailing Address - Street 2:SUITE BO1
Mailing Address - City:VERONA
Mailing Address - State:NJ
Mailing Address - Zip Code:07044-2945
Mailing Address - Country:US
Mailing Address - Phone:973-519-1989
Mailing Address - Fax:
Practice Address - Street 1:80 POMPTON AVE
Practice Address - Street 2:SUITE BO1
Practice Address - City:VERONA
Practice Address - State:NJ
Practice Address - Zip Code:07044-2945
Practice Address - Country:US
Practice Address - Phone:973-519-1989
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-24
Last Update Date:2014-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YS00322400235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty