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CHILDRENS COMMUNICATION CORNER INC NPI 1508829052


NPI Information

NPI: 1508829052
Provider Name: CHILDRENS COMMUNICATION CORNER INC

Former Legal Business Name: SHANA KELLY MD CCC-SLP

Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Organization
Address:
2366 EASTLAKE AVE E
#307
SEATTLE, WA
ZIP 98102
Phone: (206) 371-9133
Get Directions

CHILDRENS COMMUNICATION CORNER INC is a speech language pathologist in Seattle, WA. 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. CHILDRENS COMMUNICATION CORNER INC NPI is 1508829052. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Shana Kelly Md Ccc-slp.

The provider's business location address is:

2366 EASTLAKE AVE E
#307
SEATTLE, WA
ZIP 98102
Phone: (206) 371-9133
Fax: (206) 524-9836

The provider's authorized official is Shana L Kelly .
The authorized official title is Owner/slp and has the following contact phone number (206) 299-1780.

The enumeration date for this NPI number is 4/7/2006 and was last updated on 3/2/2015.


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 PathologistLL00003194WASHINGTONYes

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
17115272MEDICAIDWASHINGTON
2517026704OTHERWASHINGTONOLD BILLING # SOC SEC
36704KEOTHERWASHINGTONREGENCE BLUE SHIELD OF WA

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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