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SOUTH EAST CENTER FOR SWALLOWING & COMMUNICATION NPI 1922102912


NPI Information

NPI: 1922102912
Provider Name: SOUTH EAST CENTER FOR SWALLOWING & COMMUNICATION
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Organization

CLIA Number: 22D2212600

Address:
92 GRAPE ST
UNIT 1
NEW BEDFORD, MA
ZIP 02740
Phone: (508) 991-2332
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SOUTH EAST CENTER FOR SWALLOWING & COMMUNICATION is a speech language pathologist in New Bedford, MA. 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. SOUTH EAST CENTER FOR SWALLOWING & COMMUNICATION NPI is 1922102912. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

92 GRAPE ST
UNIT 1
NEW BEDFORD, MA
ZIP 02740-143
Phone: (508) 991-2332
Fax: (508) 991-8437

The provider's authorized official is Kathleen Lynne Fitzgerald .
The authorized official title is President and has the following contact phone number (508) 991-2332.

The CLIA number assigned to this NPI record is 22D2212600 - other - homeless shelter with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/11/2006 and was last updated on 6/21/2018.


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
1225X00000XOccupational TherapistMASSACHUSETTSNo
2235Z00000XSpeech-Language PathologistYes

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
1SG0002OTHERMASSACHUSETTSBLUE CROSS BLUE SHIELD OF MASSACHUSETTS
2=========OTHERUNITED HEALTHCARE
3691582OTHERMASSACHUSETTSTUFTS HEALTH PLAN
4=========OTHERMASSACHUSETTSTRICARE
5OG0068OTHERMASSACHUSETTSBLUE CROSS BLUE SHIELD OF MASSACHUSETTS
69737570MEDICAIDMASSACHUSETTS
7=========OTHERMASSACHUSETTSAETNA
8AA14788OTHERMASSACHUSETTSHARVARD PILGRIM

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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