Provider Demographics
NPI:1902437098
Name:LOGOPEDICS UNLIMITED
Entity Type:Organization
Organization Name:LOGOPEDICS UNLIMITED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YULIYA
Authorized Official - Middle Name:MIRA
Authorized Official - Last Name:RABOI
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:443-845-3292
Mailing Address - Street 1:306 CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:REISTERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21136-6210
Mailing Address - Country:US
Mailing Address - Phone:443-845-3292
Mailing Address - Fax:
Practice Address - Street 1:306 CHURCH RD
Practice Address - Street 2:
Practice Address - City:REISTERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21136-6210
Practice Address - Country:US
Practice Address - Phone:443-845-3292
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-28
Last Update Date:2020-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty