Healthcare Provider Details
I. General information
NPI: 1730825951
Provider Name (Legal Business Name): EARLY CHILDHOOD SPECIALISTS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/10/2022
Last Update Date: 05/10/2022
Certification Date: 05/10/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
225 HILL CHURCH RD
SPRING CITY PA
19475-2304
US
IV. Provider business mailing address
225 HILL CHURCH RD
SPRING CITY PA
19475-2304
US
V. Phone/Fax
- Phone: 610-308-8714
- Fax:
- Phone: 610-308-8714
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 252Y00000X |
| Taxonomy | Early Intervention Provider Agency |
| License Number | |
| License Number State | |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name:
LAUREN
TODD
Title or Position: OWNER
Credential: M.S.ED., LBS
Phone: 610-308-8714