=====================================================
General NPI Number Information
=====================================================
NPI Number | 1629894464
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | LITTLE MONKEY SPEECH AND FEEDING THERAPY
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/26/2024
-----------------------------------------------------
Last Update Date | 01/25/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 755 MAIN STREET BUILDING 5, SUITE 6
-----------------------------------------------------
City | MONROE
-----------------------------------------------------
State | CT
-----------------------------------------------------
Zip | 06468-2830
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 202-212-8606
-----------------------------------------------------
Fax | 203-659-8017
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 36 OAK WOOD DR
-----------------------------------------------------
City | MONROE
-----------------------------------------------------
State | CT
-----------------------------------------------------
Zip | 06468-2134
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 203-212-8606
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | SPEECH LANGUAGE PATHOLOGIST/OWNER
-----------------------------------------------------
Name | SARAH JORDAN
-----------------------------------------------------
Credential | MA, CCC-SLP CBS
-----------------------------------------------------
Telephone | 203-212-8606
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 174N00000X
-----------------------------------------------------
Taxonomy Name | Lactation Consultant (Non-RN)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 235Z00000X
-----------------------------------------------------
Taxonomy Name | Speech-Language Pathologist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------