Provider Demographics
NPI:1407685100
Name:CROWNED WITH CONFIDENCE SPEECH LANGUAGE THERAPY
Entity type:Organization
Organization Name:CROWNED WITH CONFIDENCE SPEECH LANGUAGE THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:K
Authorized Official - Last Name:SCARLETT
Authorized Official - Suffix:
Authorized Official - Credentials:CCC-SLP
Authorized Official - Phone:954-439-8276
Mailing Address - Street 1:1211 HOLBROOK TER NE APT 2
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-2733
Mailing Address - Country:US
Mailing Address - Phone:954-439-8276
Mailing Address - Fax:202-466-0983
Practice Address - Street 1:1211 HOLBROOK TER NE APT 2
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-2733
Practice Address - Country:US
Practice Address - Phone:954-439-8276
Practice Address - Fax:202-466-0983
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-30
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service