Organization
SPARK THERAPY SERVICES LLC
Active
Organization
SPARK THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ESTHER SOCHACZEWSKY CCC-SLP (OWNER)
(718) 688-5866
Entity
Organization
Contact information
Practice address
14402 WASHINGTON BLVD, UNIVERSITY HEIGHTS, OH 44118-4626
(718) 688-5866
Mailing address
14402 WASHINGTON BLVD, UNIVERSITY HEIGHTS, OH 44118-4626
(347) 254-8541
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/30/2017
Last updated
12/12/2017
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