Provider Demographics
NPI:1912435959
Name:ALLENRAW CHARLEE RICHARD PRODUCTIONS COMMUNICATIONS INCORPORATED
Entity Type:Organization
Organization Name:ALLENRAW CHARLEE RICHARD PRODUCTIONS COMMUNICATIONS INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH AND LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MS
Authorized Official - First Name:WARNELLA
Authorized Official - Middle Name:C
Authorized Official - Last Name:BRONW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-882-5298
Mailing Address - Street 1:PO BOX 230103
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11223-0103
Mailing Address - Country:US
Mailing Address - Phone:347-882-5298
Mailing Address - Fax:
Practice Address - Street 1:40 W 135TH ST APT 11K
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10037-2519
Practice Address - Country:US
Practice Address - Phone:347-882-5298
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-02
Last Update Date:2017-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency