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Contact Information

INTERCEPT SPEECH AND LANGUAGE, LLC
1201 E FRY BLVD
SUITE #1
SIERRA VISTA, AZ85635-2600
 Phone: 520-459-8258
 Fax: 520-459-8619
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Day Training, Developmentally Disabled Services

251C00000X
Indicates primary specialty

NPI Profile & details for INTERCEPT SPEECH AND LANGUAGE, LLC

NPI # 1679656409
LBN Legal business name INTERCEPT SPEECH AND LANGUAGE, LLC
Authorized official CORNETA KELLEY - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/23/2006
Last updated 07/08/2009 - About 17 years ago
Identifiers
AZ License # SLP4673
AZ Other 968141 AHCCCS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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