Childhood Potentials Inc. in Bradley - Speech-language Pathologist
Childhood Potentials Inc. - NPI 1588673602
Childhood Potentials Inc. is a Speech-language Pathologist in Bradley, Illinois. Childhood Potentials Inc. practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Childhood Potentials Inc. is 1588673602. The last update date is 2008-01-16.
Childhood Potentials Inc.'s current location address is 101 Old Farm Middle Ct, Bradley, Illinois. You can contact this provider via phone number 8159324812 and fax number 8159369077. The mailing address for Childhood Potentials Inc. is 101 Old Farm Middle Ct, Bradley, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Childhood Potentials Inc. |
|---|---|
| Address | 101 Old Farm Middle Ct, Bradley, Illinois |
| Phone Number | 8159324812 |
| Fax Number | 8159369077 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SPEECH PAT |
|---|---|
| Authorized Official Name | Howard Ann Denise |
| Credentials | MHS, CCC-S |
| Telephone Number | 8153704812 |
NPI Number Detail
| NPI Number | 1588673602 |
|---|---|
| Provider Enumeration Date | 2006-08-07 |
| Last Updated Date | 2008-01-16 |
Provider Mailing Address Detail
| Address | 101 Old Farm Middle Ct |
|---|---|
| City | Bradley |
| State | Illinois (IL) |
| Post Code | 609151485 |
| Phone Number | 8159324812 |
| Fax Number | 8159369077 |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
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Definition: 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. Spe |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4632010 | IL | BCBS |
Post Comment/ Review Below
What is the unique provider identifier assigned to Childhood Potentials Inc.?
The Childhood Potentials Inc. has been issued the NPI (National Provider Identifier) 1588673602 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Childhood Potentials Inc. is located?
The Childhood Potentials Inc. is situated at the following address: 101 Old Farm Middle Ct, Bradley, IL, 609151485.
What is Childhood Potentials Inc.'s area of expertise and its corresponding taxonomy classification?
The Childhood Potentials Inc.'s field of specialization is Speech-language Pathologist, and it falls under the taxonomy code 235Z00000X, which categorizes healthcare providers based on their areas of practice.
When was the Childhood Potentials Inc.'s 1588673602 issued?
The Childhood Potentials Inc.'s 1588673602 was issued on 2006-08-07.
As of what date was the information regarding Childhood Potentials Inc., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Childhood Potentials Inc., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-01-16.
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