Provider Demographics
NPI:1013453489
Name:REACHING NEW HEIGHTS SPEECH AND LANGUAGE SERVICES
Entity Type:Organization
Organization Name:REACHING NEW HEIGHTS SPEECH AND LANGUAGE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:Q
Authorized Official - Last Name:MEGAHEY
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:518-527-2987
Mailing Address - Street 1:57 DUNCAN PHYFE LN
Mailing Address - Street 2:
Mailing Address - City:SLINGERLANDS
Mailing Address - State:NY
Mailing Address - Zip Code:12159-9375
Mailing Address - Country:US
Mailing Address - Phone:518-729-5673
Mailing Address - Fax:
Practice Address - Street 1:57 DUNCAN PHYFE LN
Practice Address - Street 2:
Practice Address - City:SLINGERLANDS
Practice Address - State:NY
Practice Address - Zip Code:12159-9375
Practice Address - Country:US
Practice Address - Phone:518-729-5673
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-10
Last Update Date:2017-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012311-1252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency