Provider Demographics
NPI:1023319613
Name:SPEAK-N-SPELL, INC.
Entity type:Organization
Organization Name:SPEAK-N-SPELL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRYSTAL
Authorized Official - Middle Name:
Authorized Official - Last Name:REDDERSEN-PICARO
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:908-889-5090
Mailing Address - Street 1:1153 MARTINE AVE
Mailing Address - Street 2:
Mailing Address - City:SCOTCH PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07076-2398
Mailing Address - Country:US
Mailing Address - Phone:908-889-5090
Mailing Address - Fax:908-889-5090
Practice Address - Street 1:1153 MARTINE AVE
Practice Address - Street 2:
Practice Address - City:SCOTCH PLAINS
Practice Address - State:NJ
Practice Address - Zip Code:07076-2398
Practice Address - Country:US
Practice Address - Phone:908-889-5090
Practice Address - Fax:908-889-5090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-12
Last Update Date:2010-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YS00606100235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ41YS00606100OtherLICENSE