Provider Demographics
NPI:1881047280
Name:FOUR C'S LEARNING AND THERAPY CENTER LLC
Entity type:Organization
Organization Name:FOUR C'S LEARNING AND THERAPY CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:CLAUDIA
Authorized Official - Middle Name:M
Authorized Official - Last Name:TRONZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-364-2731
Mailing Address - Street 1:4012 LIBERTY AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH BERGEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07047-2585
Mailing Address - Country:US
Mailing Address - Phone:201-364-2731
Mailing Address - Fax:
Practice Address - Street 1:7012 PARK AVE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:GUTTENBERG
Practice Address - State:NJ
Practice Address - Zip Code:07093-4708
Practice Address - Country:US
Practice Address - Phone:201-364-2731
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-20
Last Update Date:2016-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YS00830700235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty