| Organization Name: | CHILDHOOD LANGUAGE DISORDERS CENTER, INC. |
| NPI Number: | 1184914145 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RACHEL G SCUDIERE (DIRECTOR) |
| Mailing Address: | 406 Capitol St Charleston |
| State: | WV US |
| Postal Code: | 253011717 |
| Phone Number: | 3043427833 |
| Fax Number: | 3043422970 |
| NPI Enumeration Date: | 04/12/2011 |
| NPI Last Update Date: | 08/25/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |