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INTERCEPT SPEECH AND LANGUAGE LLC NPI 1679656409


NPI Information

NPI: 1679656409
Provider Name: INTERCEPT SPEECH AND LANGUAGE, LLC
Classification: Day Training, Developmentally Disabled Services - 251C00000X
Entity Type: Organization
Address:
1201 E FRY BLVD
SUITE #1
SIERRA VISTA, AZ
ZIP 85635
Phone: (520) 459-8258
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INTERCEPT SPEECH AND LANGUAGE, LLC is a day training developmentally disabled services in Sierra Vista, AZ. The provider is these agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. INTERCEPT SPEECH AND LANGUAGE, LLC NPI is 1679656409. The provider is registered as an organization entity type.

The provider's business location address is:

1201 E FRY BLVD
SUITE #1
SIERRA VISTA, AZ
ZIP 85635-600
Phone: (520) 459-8258
Fax: (520) 459-8619

The provider's authorized official is Corneta E. Kelley .
The authorized official title is Owner and has the following contact phone number (520) 459-8258.

The enumeration date for this NPI number is 10/23/2006 and was last updated on 7/8/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251C00000XDay Training, Developmentally Disabled ServicesSLP4673ARIZONAYes

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
1968141OTHERARIZONAAHCCCS

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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