Provider Demographics
NPI:1548034341
Name:SENSORIELLE LLC
Entity type:Organization
Organization Name:SENSORIELLE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SR THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:TERELLE
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:917-650-7418
Mailing Address - Street 1:601 VILLA AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10302-1948
Mailing Address - Country:US
Mailing Address - Phone:917-650-7418
Mailing Address - Fax:
Practice Address - Street 1:1847 VICTORY BLVD LOWR LEVEL
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10314-3550
Practice Address - Country:US
Practice Address - Phone:917-916-6929
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-13
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty