Provider Demographics
NPI:1831844653
Name:CEDAR TREE COMMUNICATION THERAPY LLC
Entity type:Organization
Organization Name:CEDAR TREE COMMUNICATION THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:AMY
Authorized Official - Middle Name:JO
Authorized Official - Last Name:FRITZ-OCOCK
Authorized Official - Suffix:
Authorized Official - Credentials:CCC-SLP
Authorized Official - Phone:407-450-5584
Mailing Address - Street 1:15143 OVATION DR
Mailing Address - Street 2:
Mailing Address - City:WINTER GARDEN
Mailing Address - State:FL
Mailing Address - Zip Code:34787-5555
Mailing Address - Country:US
Mailing Address - Phone:407-450-5584
Mailing Address - Fax:
Practice Address - Street 1:15143 OVATION DR
Practice Address - Street 2:
Practice Address - City:WINTER GARDEN
Practice Address - State:FL
Practice Address - Zip Code:34787-5555
Practice Address - Country:US
Practice Address - Phone:407-450-5584
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-21
Last Update Date:2022-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty