Provider Demographics
NPI:1669237830
Name:LEARN WITH LUCY: SPEECH, LANGUAGE & LITERACY THERAPY
Entity type:Organization
Organization Name:LEARN WITH LUCY: SPEECH, LANGUAGE & LITERACY THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:LUCILLE
Authorized Official - Middle Name:
Authorized Official - Last Name:FRACASSO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-478-4413
Mailing Address - Street 1:508 PISCASSIC ST
Mailing Address - Street 2:
Mailing Address - City:NEWMARKET
Mailing Address - State:NH
Mailing Address - Zip Code:03857-1185
Mailing Address - Country:US
Mailing Address - Phone:860-478-4413
Mailing Address - Fax:
Practice Address - Street 1:508 PISCASSIC ST
Practice Address - Street 2:
Practice Address - City:NEWMARKET
Practice Address - State:NH
Practice Address - Zip Code:03857-1185
Practice Address - Country:US
Practice Address - Phone:860-478-4413
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-16
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist