Provider Demographics
NPI:1912734336
Name:ADD THERAPY CENTER
Entity type:Organization
Organization Name:ADD THERAPY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-FOUNDER, CLINIC DIRECTOR, SLP
Authorized Official - Prefix:
Authorized Official - First Name:CARLY
Authorized Official - Middle Name:
Authorized Official - Last Name:KEARNS
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC-SLP
Authorized Official - Phone:484-630-3474
Mailing Address - Street 1:24 HAGERTY BLVD UNIT L
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19382-7595
Mailing Address - Country:US
Mailing Address - Phone:484-630-3474
Mailing Address - Fax:
Practice Address - Street 1:24 HAGERTY BLVD UNIT L
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19382-7595
Practice Address - Country:US
Practice Address - Phone:484-630-3474
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-18
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty