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SPEECH LANGUAGE FUNDAMENTALS INC NPI 1255408746


NPI Information

NPI: 1255408746
Provider Name: SPEECH LANGUAGE FUNDAMENTALS INC
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Organization
Address:
2923 198TH PL
LYNWOOD, IL
ZIP 60411
Phone: (708) 299-4799
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SPEECH LANGUAGE FUNDAMENTALS INC is a speech language pathologist in Lynwood, IL. 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. SPEECH LANGUAGE FUNDAMENTALS INC NPI is 1255408746. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2923 198TH PL
LYNWOOD, IL
ZIP 60411-546
Phone: (708) 299-4799

The provider's authorized official is Linda Marie Goforth .
The authorized official title is Director Of Services/owner and has the following contact phone number (708) 299-4799.

The enumeration date for this NPI number is 11/29/2006 and was last updated on 8/27/2009.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1235Z00000XSpeech-Language Pathologist146007330ILLINOISYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10001633463OTHERBCBS

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: 5/5/2024

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