Provider Demographics
NPI: | 1023774155 |
---|---|
Name: | COMMUNICATE WITH ME, SPEECH THERAPY LLC |
Entity type: | Organization |
Organization Name: | COMMUNICATE WITH ME, SPEECH THERAPY LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | SPEECH PATHOLOGIST |
Authorized Official - Prefix: | |
Authorized Official - First Name: | KAYLA |
Authorized Official - Middle Name: | C |
Authorized Official - Last Name: | THURSTON |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | MS CCC-SLP |
Authorized Official - Phone: | 203-903-3174 |
Mailing Address - Street 1: | 1062 BARNES RD STE 207 |
Mailing Address - Street 2: | |
Mailing Address - City: | WALLINGFORD |
Mailing Address - State: | CT |
Mailing Address - Zip Code: | 06492-6013 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 203-903-3174 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 1062 BARNES RD STE 207 |
Practice Address - Street 2: | |
Practice Address - City: | WALLINGFORD |
Practice Address - State: | CT |
Practice Address - Zip Code: | 06492-6013 |
Practice Address - Country: | US |
Practice Address - Phone: | 203-903-3174 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2021-11-12 |
Last Update Date: | 2024-02-28 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 235Z00000X | Speech, Language and Hearing Service Providers | Speech-Language Pathologist | Group - Multi-Specialty |