Healthcare Provider Details

I. General information

NPI: 1154790822
Provider Name (Legal Business Name): EFFECTIVE COMMUNICATION SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2015
Last Update Date: 09/23/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14500 BUSTLETON AVE STE 1A
PHILADELPHIA PA
19116-1188
US

IV. Provider business mailing address

14500 BUSTLETON AVE STE 1A
PHILADELPHIA PA
19116-1188
US

V. Phone/Fax

Practice location:
  • Phone: 215-613-6523
  • Fax: 215-613-6527
Mailing address:
  • Phone: 215-613-6523
  • Fax: 215-613-6527

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSL012428
License Number StatePA

VIII. Authorized Official

Name: MRS. CHRISTINE PALADINO
Title or Position: ASSISTANT OFFICE MANAGER
Credential:
Phone: 216-613-6523