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CHILD DEVELOPMENT NETWORK LLC NPI 1023202389


NPI Information

NPI: 1023202389
Provider Name: CHILD DEVELOPMENT NETWORK, LLC

Doing Business As: CHILD DEVELOPMENT NETWORK

Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Organization
Address:
76 BEDFORD ST STE 12
LEXINGTON, MA
ZIP 02420
Phone: (781) 861-6655
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CHILD DEVELOPMENT NETWORK, LLC is a speech language pathologist in Lexington, MA. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. CHILD DEVELOPMENT NETWORK, LLC NPI is 1023202389. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Child Development Network.

The provider's business location address is:

76 BEDFORD ST STE 12
LEXINGTON, MA
ZIP 02420-640
Phone: (781) 861-6655
Fax: (781) 861-6654

The provider's authorized official is Janine Korahais Stasior .
The authorized official title is Owner and has the following contact phone number (781) 861-6655.

The enumeration date for this NPI number is 8/30/2007 and was last updated on 8/30/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1235Z00000XSpeech-Language Pathologist6645MASSACHUSETTSNo
2235Z00000XSpeech-Language Pathologist6653MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1SG0044OTHERMASSACHUSETTSBLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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