Provider Demographics
NPI:1760214936
Name:COLE SPEECH & LANGUAGE LLC
Entity type:Organization
Organization Name:COLE SPEECH & LANGUAGE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:MIRIAM
Authorized Official - Middle Name:H
Authorized Official - Last Name:COLE
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC, SLP
Authorized Official - Phone:540-226-0129
Mailing Address - Street 1:23 TWIN LAKE CT
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22405-2892
Mailing Address - Country:US
Mailing Address - Phone:540-226-0130
Mailing Address - Fax:540-372-3735
Practice Address - Street 1:23 TWIN LAKE CT
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22405-2892
Practice Address - Country:US
Practice Address - Phone:540-226-0130
Practice Address - Fax:540-372-3735
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-16
Last Update Date:2024-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty