Provider Demographics
NPI:1801584347
Name:CORNERSTONE SPEECH AND LANGUAGE SERVICES
Entity type:Organization
Organization Name:CORNERSTONE SPEECH AND LANGUAGE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBERSON
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:205-774-1339
Mailing Address - Street 1:899 RIDGEWAY AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBIANA
Mailing Address - State:AL
Mailing Address - Zip Code:35051-9572
Mailing Address - Country:US
Mailing Address - Phone:205-774-1339
Mailing Address - Fax:
Practice Address - Street 1:899 RIDGEWAY AVE
Practice Address - Street 2:
Practice Address - City:COLUMBIANA
Practice Address - State:AL
Practice Address - Zip Code:35051-9572
Practice Address - Country:US
Practice Address - Phone:205-774-1339
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-24
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty