Healthcare Provider Details

I. General information

NPI: 1760393110
Provider Name (Legal Business Name): SONGBIRD SPEECH AND FAMILY SERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

345 CHANNING AVE
BELVIDERE IL
61008-4061
US

IV. Provider business mailing address

345 CHANNING AVE
BELVIDERE IL
61008-4061
US

V. Phone/Fax

Practice location:
  • Phone: 847-385-4824
  • Fax:
Mailing address:
  • Phone: 847-385-4824
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: KIERSTIN BARTH
Title or Position: FOUNDER/LEAD SLP
Credential: MA, CCC-SLP/L
Phone: 847-385-4824