Healthcare Provider Details
I. General information
NPI: 1275465767
Provider Name (Legal Business Name): ALL ABILITIES COMMUNICATE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
121 BROCKWAY AVE
OSHKOSH WI
54902-6943
US
IV. Provider business mailing address
121 BROCKWAY AVE
OSHKOSH WI
54902-6943
US
V. Phone/Fax
- Phone: 210-542-1711
- Fax:
- Phone: 210-542-1711
- Fax: 210-542-1711
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
EMILY
R
KOM
Title or Position: SPEECH LANGUAGE PATHOLOGIST
Credential: MS CCC/SLP
Phone: 210-542-1711