Provider Demographics
NPI:1013607100
Name:CONDON COMMUNICATION SPECIALISTS LLC
Entity Type:Organization
Organization Name:CONDON COMMUNICATION SPECIALISTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LARITA
Authorized Official - Middle Name:M
Authorized Official - Last Name:CONDON
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:419-629-2791
Mailing Address - Street 1:10 N WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:NEW BREMEN
Mailing Address - State:OH
Mailing Address - Zip Code:45869-1115
Mailing Address - Country:US
Mailing Address - Phone:419-629-2791
Mailing Address - Fax:
Practice Address - Street 1:10 N WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:NEW BREMEN
Practice Address - State:OH
Practice Address - Zip Code:45869-1115
Practice Address - Country:US
Practice Address - Phone:419-629-2791
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-11
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty