Healthcare Provider Details

I. General information

NPI: 1487310231
Provider Name (Legal Business Name): VERBALYZE ONLINE SPEECH THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2021
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2405 MARYLAND RD UNIT 133
WILLOW GROVE PA
19090-1764
US

IV. Provider business mailing address

1500 CHESTNUT ST STE 2 #2188
PHILADELPHIA PA
19102-2700
US

V. Phone/Fax

Practice location:
  • Phone: 215-593-1200
  • Fax:
Mailing address:
  • Phone: 215-593-1200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ERIC CAULFIELD
Title or Position: SPEECH-LANGUAGE PATHOLOGIST
Credential:
Phone: 570-202-6462