Healthcare Provider Details

I. General information

NPI: 1467592048
Provider Name (Legal Business Name): SPEECH & LANGUAGE CONSULTANTS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2007
Last Update Date: 09/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

258 MAIN ST
NORWALK CT
06851-2723
US

IV. Provider business mailing address

258 MAIN AVENUE
NORWALK CT
06851
US

V. Phone/Fax

Practice location:
  • Phone: 186-675-3089
  • Fax: 203-604-0602
Mailing address:
  • Phone: 186-675-3089
  • Fax: 203-604-0602

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateCT
# 4
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateCT
# 5
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number StateCT
# 6
Primary TaxonomyY
Taxonomy Code235500000X
TaxonomySpeech/Language/Hearing Specialist/Technologist
License Number
License Number StateCT

VIII. Authorized Official

Name: MS. LANDRIA M SEALS
Title or Position: CEO
Credential: M.A., CCC-SLP
Phone: 18667530899