Healthcare Provider Details

I. General information

NPI: 1093846008
Provider Name (Legal Business Name): THERAPY AND LEARNING SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/08/2007
Last Update Date: 06/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32772 DEER WATCH CT
NEW CARLISLE IN
46552-9690
US

IV. Provider business mailing address

32772 DEER WATCH CT
NEW CARLISLE IN
46552-9690
US

V. Phone/Fax

Practice location:
  • Phone: 574-654-8540
  • Fax: 574-654-9183
Mailing address:
  • Phone: 574-654-8540
  • Fax: 574-654-9183

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number22003342A
License Number StateIN

VIII. Authorized Official

Name: MRS. JENNIFER MARIE HATFIELD
Title or Position: OWNERDIRECTOR
Credential: SLP
Phone: 574-654-8540