Organization
SPRINGTIDE CHILD DEVELOPMENT, INC.
Active
Parent organization
SPRINGTIDE CHILD DEVELOPMENT, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPRINGTIDE CHILD DEVELOPMENT, INC
Authorized official
MONICA HAMMEL (CREDENTIALING MANAGER)
(765) 461-5410
Entity
Organization
Contact information
Practice address
95 EASTERN AVE STE 8, DEDHAM, MA 02026-4582
(203) 998-6678
(203) 987-3099
Mailing address
PO BOX 358096, PITTSBURGH, PA 15251-5096
(203) 998-6678
(203) 987-3099
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
12/16/2021
Last updated
12/23/2021
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