Provider Demographics
NPI:1215314703
Name:SPEECH AND LANGUAGE CENTER PLLC
Entity type:Organization
Organization Name:SPEECH AND LANGUAGE CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, SPEECH PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:LORA
Authorized Official - Middle Name:
Authorized Official - Last Name:NALBERCZINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:540-578-0638
Mailing Address - Street 1:1591 PORT REPUBLIC RD
Mailing Address - Street 2:
Mailing Address - City:ROCKINGHAM
Mailing Address - State:VA
Mailing Address - Zip Code:22801-3517
Mailing Address - Country:US
Mailing Address - Phone:540-437-4226
Mailing Address - Fax:
Practice Address - Street 1:800 SHENANDOAH AVENUE
Practice Address - Street 2:SUITE 170
Practice Address - City:ELKTON
Practice Address - State:VA
Practice Address - Zip Code:22827
Practice Address - Country:US
Practice Address - Phone:540-437-4226
Practice Address - Fax:540-437-4227
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SPEECH AND LANGUAGE CENTER PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-05-04
Last Update Date:2015-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202004333235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty