Provider Demographics
NPI:1447643085
Name:CELEBRATIONS SPEECH GROUP INC.
Entity type:Organization
Organization Name:CELEBRATIONS SPEECH GROUP INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHIMEZIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHIDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-759-6519
Mailing Address - Street 1:PO BOX 165
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:94513-0165
Mailing Address - Country:US
Mailing Address - Phone:925-759-6519
Mailing Address - Fax:
Practice Address - Street 1:201 SAND CREEK RD STE G4
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:CA
Practice Address - Zip Code:94513-2124
Practice Address - Country:US
Practice Address - Phone:925-759-6519
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-06
Last Update Date:2024-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty