National Provider Identifier Database

ABC PEDIATRIC THERAPY LLC
Speech-Language Pathologist

A speech pathologist is a person qualified by a master?s degree in speech-language pathology, and where applicable, licensed by the state and practicing within the scope of the license. Also, known as speech therapist, a speech pathologist evaluates patients with language and speech impairments or disorders, whether arising from physiological and neurological disturbances, defective articulation or foreign dialects, and conducts remedial programs designed to restore or improve their communication efficacy. Speech pathologists assess and treat persons with speech, language, voice, and fluency disorders.


Contact Information

ABC PEDIATRIC THERAPY, LLC
634 N MAIN ST
SUITE 3
O'FALLON, IL62269-3746
Phone: 618-632-4222
Fax: 618-632-4658
Website:
Specialty Taxonomy Code
* Speech-Language Pathologist 235Z00000X
Occupational Therapist 225X00000X
Physical Therapist 225100000X

* Indicates primary specialty

NPI Profile & details for ABC PEDIATRIC THERAPY, LLC

NPI Number 1124044698
Legal business name
LBN
ABC PEDIATRIC THERAPY, LLC
Authorized official AMY BRUCE - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 07/15/2006
Last updated 06/17/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • IL Medicaid: 348620164001
  • IL Other: 08232136 BLUE CROSS BLUE SHIELD

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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