Provider Demographics
| NPI: | 1083987341 |
|---|---|
| Name: | ALL ABOUT KIDS, SLP, OT, PT, LMSW, PSYCHOLOGY, P.L.L.C. |
| Entity type: | Organization |
| Organization Name: | ALL ABOUT KIDS, SLP, OT, PT, LMSW, PSYCHOLOGY, P.L.L.C. |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | EXECUTIVE DIRECTOR |
| Authorized Official - Prefix: | MRS |
| Authorized Official - First Name: | CATHLEEN |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | GROSSFELD |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | MA CCC/SLP |
| Authorized Official - Phone: | 516-576-2040 |
| Mailing Address - Street 1: | 255 EXECUTIVE DR |
| Mailing Address - Street 2: | |
| Mailing Address - City: | PLAINVIEW |
| Mailing Address - State: | NY |
| Mailing Address - Zip Code: | 11803-1718 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 516-576-2040 |
| Mailing Address - Fax: | 516-349-0961 |
| Practice Address - Street 1: | 255 EXECUTIVE DR |
| Practice Address - Street 2: | |
| Practice Address - City: | PLAINVIEW |
| Practice Address - State: | NY |
| Practice Address - Zip Code: | 11803-1718 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 516-576-2040 |
| Practice Address - Fax: | 516-349-0961 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2012-02-17 |
| Last Update Date: | 2012-02-17 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 251C00000X | Agencies | Day Training, Developmentally Disabled Services |