Organization Name: | TREEHOUSE PEDIATRIC THERAPY, LLC |
NPI Number: | 1285020172 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHELLE LYNCH BARREDO (CLINICAL DIRECTOR/OWNER) |
Mailing Address: | 171 Lake St Suite 2 Ramsey |
State: | NJ US |
Postal Code: | 074462089 |
Phone Number: | 2013274400 |
Fax Number: | |
NPI Enumeration Date: | 04/08/2015 |
NPI Last Update Date: | 04/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 41YS00679800 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
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 |