Provider Demographics
NPI:1396172177
Name:KIDEOLOGY LTD
Entity type:Organization
Organization Name:KIDEOLOGY LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:CWIAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-508-0908
Mailing Address - Street 1:2520 SAINT ROSE PKWY
Mailing Address - Street 2:SUITE 104
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89074-7783
Mailing Address - Country:US
Mailing Address - Phone:702-508-0908
Mailing Address - Fax:702-508-9203
Practice Address - Street 1:2520 SAINT ROSE PKWY
Practice Address - Street 2:SUITE 104
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89074-7783
Practice Address - Country:US
Practice Address - Phone:702-508-0908
Practice Address - Fax:702-508-9203
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-11
Last Update Date:2013-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty