Provider Demographics
NPI:1376342170
Name:KIDS ENCHANTED SPEECH LANGUAGE THERAPY
Entity type:Organization
Organization Name:KIDS ENCHANTED SPEECH LANGUAGE THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/MSCCC-SLP
Authorized Official - Prefix:MRS
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:ELIIZABETH
Authorized Official - Last Name:RITTER
Authorized Official - Suffix:
Authorized Official - Credentials:MSCCC-SLP
Authorized Official - Phone:914-582-3647
Mailing Address - Street 1:755 HEWITT LN
Mailing Address - Street 2:
Mailing Address - City:NEW WINDSOR
Mailing Address - State:NY
Mailing Address - Zip Code:12553-5463
Mailing Address - Country:US
Mailing Address - Phone:914-582-3647
Mailing Address - Fax:
Practice Address - Street 1:54 N BROADWAY
Practice Address - Street 2:
Practice Address - City:TARRYTOWN
Practice Address - State:NY
Practice Address - Zip Code:10591-3240
Practice Address - Country:US
Practice Address - Phone:914-582-3647
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-12
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty