Provider Demographics
NPI:1548892946
Name:EARLY ACCESS, LLC.
Entity type:Organization
Organization Name:EARLY ACCESS, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:SHARICE
Authorized Official - Middle Name:K
Authorized Official - Last Name:LANE
Authorized Official - Suffix:
Authorized Official - Credentials:CCC-SLP
Authorized Official - Phone:202-569-1149
Mailing Address - Street 1:325 P ST SW APT 301B
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20024-2918
Mailing Address - Country:US
Mailing Address - Phone:202-569-1149
Mailing Address - Fax:
Practice Address - Street 1:325 P ST SW APT 301B
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20024-2918
Practice Address - Country:US
Practice Address - Phone:202-569-1149
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-04
Last Update Date:2020-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty