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Contact Information

BLOOMINGTON PEDIATRIC SPEECH THERAPY LLC
1441 S FENBROOK LN
SUITE 400D
BLOOMINGTON, IN47401-4176
 Phone: 646-298-5246
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for BLOOMINGTON PEDIATRIC SPEECH THERAPY LLC

NPI # 1902143076
LBN Legal business name BLOOMINGTON PEDIATRIC SPEECH THERAPY LLC
Authorized official MELINDA DOWLING - (SPEECH LANGUAGE PATHOLOGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 01/09/2013
Last updated 01/09/2013 - About 13 years ago
Identifiers
IN License # 22005155A
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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