Provider Demographics
NPI:1154886554
Name:BABBLING BROOK SPEECH AND LANGUAGE THERAPY, PLLC
Entity type:Organization
Organization Name:BABBLING BROOK SPEECH AND LANGUAGE THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:P
Authorized Official - Last Name:ASARO
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP, TSSLD
Authorized Official - Phone:347-450-8327
Mailing Address - Street 1:16 SCHOLAR LN
Mailing Address - Street 2:
Mailing Address - City:COMMACK
Mailing Address - State:NY
Mailing Address - Zip Code:11725-1224
Mailing Address - Country:US
Mailing Address - Phone:631-896-8725
Mailing Address - Fax:631-858-9331
Practice Address - Street 1:16 SCHOLAR LN
Practice Address - Street 2:
Practice Address - City:COMMACK
Practice Address - State:NY
Practice Address - Zip Code:11725-1224
Practice Address - Country:US
Practice Address - Phone:631-896-8725
Practice Address - Fax:631-858-9331
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-10
Last Update Date:2019-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech