Provider Demographics
NPI:1245466820
Name:CENTER FOR SPEECH AND LEARNING, LLC
Entity type:Organization
Organization Name:CENTER FOR SPEECH AND LEARNING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR PRACTITIONER
Authorized Official - Prefix:MS
Authorized Official - First Name:ALIDA
Authorized Official - Middle Name:
Authorized Official - Last Name:ENGEL
Authorized Official - Suffix:
Authorized Official - Credentials:CCC/SLP, BRS-FD
Authorized Official - Phone:203-397-3224
Mailing Address - Street 1:801 EDGEWOOD AVE REAR
Mailing Address - Street 2:CENTER FOR SPEECH AND LEARNING, LLC
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06515-2216
Mailing Address - Country:US
Mailing Address - Phone:203-397-3224
Mailing Address - Fax:
Practice Address - Street 1:801 EDGEWOOD AVE REAR
Practice Address - Street 2:CENTER FOR SPEECH AND LEARNING, LLC
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06515-2216
Practice Address - Country:US
Practice Address - Phone:203-397-3224
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-09
Last Update Date:2009-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy AssistantGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language AssistantGroup - Multi-Specialty
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Multi-Specialty