Provider Demographics
NPI:1881309607
Name:VYBRENCE COMMUNICATION & CONSULTING INNOVATIONS, LLC
Entity type:Organization
Organization Name:VYBRENCE COMMUNICATION & CONSULTING INNOVATIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:MARY
Authorized Official - Last Name:TAHENY
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:847-287-1625
Mailing Address - Street 1:15N272 OLD SUTTON RD
Mailing Address - Street 2:
Mailing Address - City:BARRINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:60010-9279
Mailing Address - Country:US
Mailing Address - Phone:847-624-1836
Mailing Address - Fax:
Practice Address - Street 1:15N272 OLD SUTTON RD
Practice Address - Street 2:
Practice Address - City:BARRINGTON
Practice Address - State:IL
Practice Address - Zip Code:60010-9279
Practice Address - Country:US
Practice Address - Phone:847-624-1836
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-16
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty