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CENTER CITY PEDIATRICS LLC NPI 1407284755


NPI Information

NPI: 1407284755
Provider Name: CENTER CITY PEDIATRICS, LLC

Other Name: CCP THERAPY

Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Organization

CLIA Number: 39D1086600

Address:
1740 SOUTH ST
STE 301
PHILADELPHIA, PA
ZIP 19146
Phone: (215) 735-5600
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CENTER CITY PEDIATRICS, LLC is a speech language pathologist in Philadelphia, PA. 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. CENTER CITY PEDIATRICS, LLC NPI is 1407284755. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Ccp Therapy.

The provider's business location address is:

1740 SOUTH ST
STE 301
PHILADELPHIA, PA
ZIP 19146-514
Phone: (215) 735-5600
Fax: (215) 735-5690

The provider's authorized official is David Bannett .
The authorized official title is Practice Administrator and has the following contact phone number (215) 735-5600.

The CLIA number assigned to this NPI record is 39D1086600 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/24/2013 and was last updated on 10/24/2013.


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 PathologistSL002576LPENNSYLVANIAYes

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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