Provider Demographics
NPI:1205151693
Name:ASSOCIATED LEARNING & LANGUAGE SPECIALISTS
Entity type:Organization
Organization Name:ASSOCIATED LEARNING & LANGUAGE SPECIALISTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:RUTH
Authorized Official - Last Name:COLSTON-JOY
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:650-631-9999
Mailing Address - Street 1:1060 TWIN DOLPHIN DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94065-1133
Mailing Address - Country:US
Mailing Address - Phone:650-631-9999
Mailing Address - Fax:650-631-9988
Practice Address - Street 1:1060 TWIN DOLPHIN DR
Practice Address - Street 2:SUITE 100
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94065-1133
Practice Address - Country:US
Practice Address - Phone:650-631-9999
Practice Address - Fax:650-631-9988
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-29
Last Update Date:2010-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAREGIONAL CENTER252Y00000X
CASP3566235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No252Y00000XAgenciesEarly Intervention Provider AgencyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CASP0036OtherREGISTERED OCCUPATIONAL THERAPISTS; LICENSED SPEECH PATHOLOGISTS;CREDENTIALED TE