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MIXED INCLUSION NPI 1407521917


NPI Information

NPI: 1407521917
Provider Name: MIXED INCLUSION
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Organization
Address:
1749 BURR OAK RD
HOMEWOOD, IL
ZIP 60430
Phone: (832) 599-4512
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MIXED INCLUSION is a speech language pathologist in Homewood, IL. 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. MIXED INCLUSION NPI is 1407521917. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1749 BURR OAK RD
HOMEWOOD, IL
ZIP 60430-810
Phone: (832) 599-4512

The provider's authorized official is Camille O'quin .
The authorized official title is Executive Director, Founder, Slp and has the following contact phone number (832) 599-4512.

The enumeration date for this NPI number is 8/16/2021 and was last updated on 8/16/2021.


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
12355S0801XSpecialist/TechnologistSpeech-Language AssistantNo
2235Z00000XSpeech-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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