Provider Demographics
NPI:1518703560
Name:DOT TO DOT: PEDIATRIC SPEECH LANGUAGE THERAPY LLC
Entity type:Organization
Organization Name:DOT TO DOT: PEDIATRIC SPEECH LANGUAGE THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHROBAK
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:434-327-7121
Mailing Address - Street 1:2300 COMMONWEALTH DR STE 30
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22901-1894
Mailing Address - Country:US
Mailing Address - Phone:434-327-7121
Mailing Address - Fax:
Practice Address - Street 1:2300 COMMONWEALTH DR STE 30
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22901-1894
Practice Address - Country:US
Practice Address - Phone:434-327-7121
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-08
Last Update Date:2024-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech