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1629383005 NPI number — SPEECH AMERICA LEARNING ASSOCIATE, INC.

NPI Number: 1629383005
Health Care Provider/Practitioner: SPEECH AMERICA LEARNING ASSOCIATE, INC.

Information about “1629383005” NPI (SPEECH AMERICA LEARNING ASSOCIATE, INC.) exists in 1629383005 in HTML format HTML  |  1629383005 in plain Text format TXT  |  1629383005 in PDF (Portable Document Format) PDF  |  1629383005 in an XML format XML  formats.

NPI Number : 1629383005 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1629383005",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "SPEECH AMERICA LEARNING ASSOCIATE, INC.",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "21001 N TATUM BLVD",
    "SecondLineMailingAddress": "STE 1630-126",
    "MailingAddressCityName": "PHOENIX",
    "MailingAddressStateName": "AZ",
    "MailingAddressPostalCode": "85050-4206",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "480-375-5054",
    "MailingAddressFaxNumber": "480-368-7956",
    "FirstLinePracticeLocationAddress": "6050 N INVERGORDON RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PARADISE VALLEY",
    "PracticeLocationAddressStateName": "AZ",
    "PracticeLocationAddressPostalCode": "85253-5248",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "480-375-5054",
    "PracticeLocationAddressFaxNumber": "480-874-2928",
    "EnumerationDate": "08/10/2010",
    "LastUpdateDate": "08/10/2010",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "PICCININNI",
    "AuthorizedOfficialFirstName": "LISA",
    "AuthorizedOfficialMiddleName": "JEAN",
    "AuthorizedOfficialTitle": "SPEECH LANGUAGE PATHOLOGIST",
    "AuthorizedOfficialNamePrefix": "MS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "M.A,",
    "AuthorizedOfficialTelephoneNumber": "480-375-5054",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "235Z00000X",
        "TaxonomyName": "Speech-Language Pathologist",
        "LicenseNumber": "SLP6457",
        "LicenseNumberStateCode": "AZ",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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