Provider Demographics
NPI:1144473778
Name:EARLY LINK LMSW, MSCCC,SLP,PLLS
Entity type:Organization
Organization Name:EARLY LINK LMSW, MSCCC,SLP,PLLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTACT PERSON/PARTNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:A
Authorized Official - Last Name:FASSBENDER
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:845-562-4899
Mailing Address - Street 1:8 MUSKET PL
Mailing Address - Street 2:
Mailing Address - City:NEW WINDSOR
Mailing Address - State:NY
Mailing Address - Zip Code:12553-5613
Mailing Address - Country:US
Mailing Address - Phone:845-562-4899
Mailing Address - Fax:845-565-1681
Practice Address - Street 1:8 MUSKET PL
Practice Address - Street 2:
Practice Address - City:NEW WINDSOR
Practice Address - State:NY
Practice Address - Zip Code:12553-5613
Practice Address - Country:US
Practice Address - Phone:845-562-4899
Practice Address - Fax:845-565-1681
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-28
Last Update Date:2008-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency