Healthcare Provider Details

I. General information

NPI: 1356272736
Provider Name (Legal Business Name): THE SOCIAL PLAY THERAPY SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3741 GRAND BLVD
BROOKFIELD IL
60513-1623
US

IV. Provider business mailing address

3741 GRAND BLVD
BROOKFIELD IL
60513-1623
US

V. Phone/Fax

Practice location:
  • Phone: 708-835-0209
  • Fax:
Mailing address:
  • Phone: 708-835-0209
  • 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: CRISTINA GARZA
Title or Position: SPEECH LANGUAGE PATHOLOGIST
Credential: SLP
Phone: 708-595-4569