Provider Demographics
NPI:1316144132
Name:CAT GOT YOUR TONGUE, INC.
Entity type:Organization
Organization Name:CAT GOT YOUR TONGUE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARCIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:HELLER
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC, SLP
Authorized Official - Phone:602-614-6386
Mailing Address - Street 1:1550 N STAPLEY DR UNIT 131
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85203-3710
Mailing Address - Country:US
Mailing Address - Phone:602-614-6386
Mailing Address - Fax:480-733-4364
Practice Address - Street 1:1550 N STAPLEY DR UNIT 131
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85203-3710
Practice Address - Country:US
Practice Address - Phone:602-614-6386
Practice Address - Fax:480-733-4364
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLP0405235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty