National Provider Identifier Database

JACOBS LADDER NEURODEVELOPMENTAL LEARNING CENTER
Professional


Contact Information

JACOB'S LADDER NEURODEVELOPMENTAL LEARNING CENTER
407 HARDSCRABBLE RD
ROSWELL, GA30075-1417
Phone: 770-998-1017
Fax: 770-998-3258
Website:
Specialty Taxonomy Code
* Professional 101YP2500X
Clinical 1041C0700X
Mental Health 101YM0800X
Pediatrics 2251P0200X
Pediatrics 225XP0200X
School 103TS0200X
Speech-Language Pathologist 235Z00000X

* Indicates primary specialty

NPI Profile & details for JACOB'S LADDER NEURODEVELOPMENTAL LEARNING CENTER

NPI Number 1871818641
Legal business name
LBN
JACOB'S LADDER NEURODEVELOPMENTAL LEARNING CENTER
Authorized official AMY O'DELL - (FOUNDER/DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 04/05/2010
Last updated 11/23/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: 09634048
  • GA License #: 1059
  • GA License #: LPC004163
  • GA License #: MSW006790
  • GA License #: MSW006914
  • GA License #: OT005584
  • GA License #: PT002001
  • GA License #: PT010499
  • GA License #: SLP007882

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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