Provider Demographics
NPI:1063745610
Name:SECOND LANGUAGE LITERACY AND LEARNING CONNECTION,LLC
Entity type:Organization
Organization Name:SECOND LANGUAGE LITERACY AND LEARNING CONNECTION,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO-SLLLC
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:JILL
Authorized Official - Last Name:CHITESTER
Authorized Official - Suffix:I
Authorized Official - Credentials:
Authorized Official - Phone:732-642-5118
Mailing Address - Street 1:107 NEWMAN CT
Mailing Address - Street 2:
Mailing Address - City:PENNINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08534-5198
Mailing Address - Country:US
Mailing Address - Phone:732-642-5118
Mailing Address - Fax:609-737-7225
Practice Address - Street 1:1601 S VALLEY FORGE RD
Practice Address - Street 2:
Practice Address - City:LANSDALE
Practice Address - State:PA
Practice Address - Zip Code:19446-5450
Practice Address - Country:US
Practice Address - Phone:732-642-5118
Practice Address - Fax:609-737-7225
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-15
Last Update Date:2009-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL007745251C00000X, 252Y00000X, 235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
No251C00000XAgenciesDay Training, Developmentally Disabled ServicesGroup - Single Specialty
No252Y00000XAgenciesEarly Intervention Provider Agency