Organization
SPRINGTIDE CHILD DEVELOPMENT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIA JIA YE (CEO)
(203) 998-6678
Entity
Organization
Contact information
Practice address
95 EASTERN AVE STE 12, 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
12/14/2021
Last updated
12/14/2021
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