Provider Demographics
NPI:1366755217
Name:COMMUNICATE PC
Entity type:Organization
Organization Name:COMMUNICATE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND SPEECH PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:S
Authorized Official - Last Name:KADOSH KLINE
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC/SLP
Authorized Official - Phone:512-785-8567
Mailing Address - Street 1:6601 SHADOW VALLEY DRIVE
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-4145
Mailing Address - Country:US
Mailing Address - Phone:512-785-8567
Mailing Address - Fax:512-372-0372
Practice Address - Street 1:6601 SHADOW VALLEY DRIVE
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-4145
Practice Address - Country:US
Practice Address - Phone:512-785-8567
Practice Address - Fax:512-372-0372
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-21
Last Update Date:2012-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15815235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty