Provider Demographics
NPI:1306617204
Name:ARISE N' SHINE SPEECH AND LEARNING CENTER LLC
Entity type:Organization
Organization Name:ARISE N' SHINE SPEECH AND LEARNING CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, SPEECH PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:ALICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:DINDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-377-7814
Mailing Address - Street 1:40 SCENIC RD
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:CT
Mailing Address - Zip Code:06249-2028
Mailing Address - Country:US
Mailing Address - Phone:860-377-7814
Mailing Address - Fax:
Practice Address - Street 1:16 DR FOOTE RD UNIT 4
Practice Address - Street 2:
Practice Address - City:COLCHESTER
Practice Address - State:CT
Practice Address - Zip Code:06415-1537
Practice Address - Country:US
Practice Address - Phone:860-813-2648
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-10
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty