Speech Language Fundamentals Inc in Lynwood - Speech-language Pathologist

Speech Language Fundamentals Inc - NPI 1255408746

Speech Language Fundamentals Inc is a Speech-language Pathologist in Lynwood, Illinois. Speech Language Fundamentals Inc practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Speech Language Fundamentals Inc is 1255408746. The last update date is 2009-08-27.

Speech Language Fundamentals Inc's current location address is 2923 198th Pl, Lynwood, Illinois. You can contact this provider via phone number 7082994799 and fax number 7088496079. The mailing address for Speech Language Fundamentals Inc is 2923 198th Pl, Lynwood, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Speech Language Fundamentals Inc
Address 2923 198th Pl, Lynwood, Illinois
Phone Number 7082994799
Fax Number 7088496079
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DIRECTOR O
Authorized Official Name Goforth Marie Linda
Credentials MHS CCC-SL
Telephone Number 7082994799

NPI Number Detail

NPI Number 1255408746
Provider Enumeration Date 2006-11-29
Last Updated Date 2009-08-27

Provider Mailing Address Detail

Address 2923 198th Pl
City Lynwood
State Illinois (IL)
Post Code 604114546
Phone Number 7082994799
Fax Number 7088496079

Provider's Primary Taxonomy Detail

Speciality Speech-language Pathologist
Taxonomy 235Z00000X
Licence No 146007330
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1633463 BCBS

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FAQs about Speech Language Fundamentals Inc

What is the Speech Language Fundamentals Inc's unique identification number?

The Speech Language Fundamentals Inc has been assigned the NPI (National Provider Identifier) Number 1255408746 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where Speech Language Fundamentals Inc's facilities are situated?

The facilities of Speech Language Fundamentals Inc are physically located at the following address: 2923 198Th Pl, Lynwood, IL, 604114546.

What is Speech Language Fundamentals Inc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Speech Language Fundamentals Inc is Speech-language Pathologist, and the corresponding taxonomy classification code for this specialized field is 235Z00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1255408746 to Speech Language Fundamentals Inc?

The Centers for Medicare & Medicaid Services originally issued the 1255408746 to Speech Language Fundamentals Inc on 2006-11-29.

As of what date was the information regarding Speech Language Fundamentals Inc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Speech Language Fundamentals Inc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-08-27.

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