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NORTHERN PEDIATRIC THERAPY PLLC NPI 1053178079


NPI Information

NPI: 1053178079
Provider Name: NORTHERN PEDIATRIC THERAPY PLLC
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Organization
Address:
19080 RIDGE VIEW LN
LAKE ANN, MI
ZIP 49650
Phone: (616) 706-2916
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NORTHERN PEDIATRIC THERAPY PLLC is a speech language pathologist in Lake Ann, MI. 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. NORTHERN PEDIATRIC THERAPY PLLC NPI is 1053178079. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

19080 RIDGE VIEW LN
LAKE ANN, MI
ZIP 49650-411
Phone: (616) 706-2916

The provider's authorized official is Megan Downer .
The authorized official title is Speech Language Pathology and has the following contact phone number (231) 577-9421.

The enumeration date for this NPI number is 3/5/2024 and was last updated on 3/15/2024.


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
12251P0200XPhysical TherapistPediatricsNo
2225XP0200XOccupational TherapistPediatricsNo
3235Z00000XSpeech-Language PathologistYes

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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