Provider Demographics
NPI:1114754215
Name:CORE COMMUNICATIONZ THERAPY LLC
Entity type:Organization
Organization Name:CORE COMMUNICATIONZ THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ZORA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCFARLANE-BLAKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-505-2039
Mailing Address - Street 1:5810 KINGSTOWNE CTR STE 120
Mailing Address - Street 2:PMB #106
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22315-5711
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6600 INDIAN TRAIL CT
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22310-2411
Practice Address - Country:US
Practice Address - Phone:202-505-2039
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-14
Last Update Date:2024-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty