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Contact Information

GROW PEDIATRIC THERAPY CORNER, PLLC
920 S SPRING ST
SPRINGFIELD, IL62704-2725
 Phone: 708-362-9839
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
 

Assistant Behavior Analyst

106E00000X
 

Audiologist

231H00000X 64 Audiologist
 

Augmentative Communication

261QA3000X
 

Behavior Analyst

103K00000X
 

Behavior Technician

106S00000X
 

Developmental Therapist

222Q00000X
 

Feeding, Eating & Swallowing

225XF0002X 67 Occupational Therapist in Private Practice
 

Music Therapist

225A00000X
 

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
 

Occupational Therapy Assistant

224Z00000X
 

Pediatrics

2251P0200X 65 Physical Therapist in Private Practice
 

Physical Therapy Assistant

225200000X
 

Speech-Language Assistant

2355S0801X
Indicates primary specialty

NPI Profile & details for GROW PEDIATRIC THERAPY CORNER, PLLC

NPI Number 1033985593
LBN Legal business name GROW PEDIATRIC THERAPY CORNER, PLLC
Authorized official DAJ'ZA MITCHELL - (OWNER, SPEECH-LANGUAGE PATHOLOGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 11/27/2023
Last updated 11/27/2023 - About 3 years ago
Identifiers n/a
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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