Provider Demographics
NPI:1740669449
Name:C&S CONTRACT SPEECH LANGUAGE PATHOLOGY SERVICES, INC.
Entity type:Organization
Organization Name:C&S CONTRACT SPEECH LANGUAGE PATHOLOGY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:ELISE
Authorized Official - Last Name:SHEETZ
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:814-329-6142
Mailing Address - Street 1:901 LOGAN BLVD
Mailing Address - Street 2:
Mailing Address - City:ALTOONA
Mailing Address - State:PA
Mailing Address - Zip Code:16602-4025
Mailing Address - Country:US
Mailing Address - Phone:814-944-2986
Mailing Address - Fax:814-944-2978
Practice Address - Street 1:901 LOGAN BLVD
Practice Address - Street 2:
Practice Address - City:ALTOONA
Practice Address - State:PA
Practice Address - Zip Code:16602-4025
Practice Address - Country:US
Practice Address - Phone:814-944-2986
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-27
Last Update Date:2021-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL009129235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty