Provider Demographics
NPI:1205109550
Name:THERAPY PLUS SPEECH AND LANGUAGE SERVICES PC
Entity type:Organization
Organization Name:THERAPY PLUS SPEECH AND LANGUAGE SERVICES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:
Authorized Official - Last Name:AGRANOVICH
Authorized Official - Suffix:
Authorized Official - Credentials:CCC-SLP
Authorized Official - Phone:917-771-8378
Mailing Address - Street 1:2900 OCEAN AVE
Mailing Address - Street 2:SUITE 1E
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-3270
Mailing Address - Country:US
Mailing Address - Phone:917-771-8378
Mailing Address - Fax:
Practice Address - Street 1:2900 OCEAN AVE
Practice Address - Street 2:SUITE 1E
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-3270
Practice Address - Country:US
Practice Address - Phone:917-771-8378
Practice Address - Fax:
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?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency