Provider Demographics
NPI: | 1265966352 |
---|---|
Name: | CHEERFUL CHATTER LLC |
Entity type: | Organization |
Organization Name: | CHEERFUL CHATTER LLC |
Other - Org Name: | <UNAVAIL> |
Other - Org Type: | |
Authorized Official - Title/Position: | PRESIDENT |
Authorized Official - Prefix: | |
Authorized Official - First Name: | ELLEN |
Authorized Official - Middle Name: | R |
Authorized Official - Last Name: | MCSPADDEN |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | MA, CCC-SLP, CAS |
Authorized Official - Phone: | 856-577-0966 |
Mailing Address - Street 1: | 410 WOODLAWN AVE |
Mailing Address - Street 2: | |
Mailing Address - City: | COLLINGSWOOD |
Mailing Address - State: | NJ |
Mailing Address - Zip Code: | 08108-1602 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 856-577-0966 |
Mailing Address - Fax: | 856-558-9901 |
Practice Address - Street 1: | 1010 HADDONFIELD BERLIN RD STE 404 |
Practice Address - Street 2: | |
Practice Address - City: | VOORHEES |
Practice Address - State: | NJ |
Practice Address - Zip Code: | 08043-3516 |
Practice Address - Country: | US |
Practice Address - Phone: | 856-577-0966 |
Practice Address - Fax: | 856-558-9901 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2017-04-14 |
Last Update Date: | 2017-04-14 |
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 |