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29TH STREET THERAPY NPI 1578957684


NPI Information

NPI: 1578957684
Provider Name: 29TH STREET THERAPY

Doing Business As: 29TH STREET THERAPY

Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Organization
Address:
1211 S 29TH ST
CHICKASHA, OK
ZIP 73018
Phone: (405) 224-0002
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29TH STREET THERAPY is a speech language pathologist in Chickasha, OK. 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. 29TH STREET THERAPY NPI is 1578957684. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As 29th Street Therapy.

The provider's business location address is:

1211 S 29TH ST
CHICKASHA, OK
ZIP 73018-651
Phone: (405) 224-0002
Fax: (405) 224-0133

The provider's authorized official is Danielle Eva Klevgard .
The authorized official title is Speech-language Pathologist and has the following contact phone number (405) 669-0908.

The enumeration date for this NPI number is 3/26/2015 and was last updated on 3/26/2015.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1235Z00000XSpeech-Language Pathologist4251OKLAHOMAYes

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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