Healthcare Provider Details

I. General information

NPI: 1992588222
Provider Name (Legal Business Name): BITE-SIZED BEGINNINGS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2023
Last Update Date: 08/21/2023
Certification Date: 08/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1105 N WASHINGTON ST
NAPERVILLE IL
60563-2766
US

IV. Provider business mailing address

1105 N WASHINGTON ST
NAPERVILLE IL
60563-2766
US

V. Phone/Fax

Practice location:
  • Phone: 847-226-5393
  • Fax:
Mailing address:
  • Phone: 847-226-5393
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: STEPHANIE SORRENTINO
Title or Position: CEO & FOUNDER
Credential: M.S., CCC-SLP
Phone: 847-226-5393