Healthcare Provider Details

I. General information

NPI: 1467976035
Provider Name (Legal Business Name): COMMUNICATION STATION, LLP.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2017
Last Update Date: 09/19/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1997 ROUTE 17M STE 9
GOSHEN NY
10924-5233
US

IV. Provider business mailing address

1997 ROUTE 17M STE 9
GOSHEN NY
10924-5233
US

V. Phone/Fax

Practice location:
  • Phone: 845-294-4787
  • Fax:
Mailing address:
  • Phone: 845-294-4787
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: TARA CONNELL
Title or Position: SPEECH-LANGUAGE PATHOLOGIST
Credential: MS/CCC-SLP
Phone: 845-294-4787