NPI Code Detail JSON Logo

1841103017 NPI number — CONFIDENT KIDS SPEECH THERAPY PLLC

NPI Number: 1841103017
Health Care Provider/Practitioner: CONFIDENT KIDS SPEECH THERAPY PLLC

Information about “1841103017” NPI (CONFIDENT KIDS SPEECH THERAPY PLLC) exists in 1841103017 in HTML format HTML  |  1841103017 in plain Text format TXT  |  1841103017 in PDF (Portable Document Format) PDF  |  1841103017 in an XML format XML  formats.

NPI Number : 1841103017 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1841103017",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "CONFIDENT KIDS SPEECH THERAPY PLLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "105 S DEVONSHIRE DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BLOOMINGTON",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "61704-4677",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "847-340-0337",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "105 S DEVONSHIRE DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BLOOMINGTON",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "61704-4677",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "847-340-0337",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/28/2026",
    "LastUpdateDate": "09/28/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "GREENBERG",
    "AuthorizedOfficialFirstName": "SARAH",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "SPEECH LANGUAGE PATHOLOGIST",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MS CCC-SLP",
    "AuthorizedOfficialTelephoneNumber": "309-830-5203",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "235Z00000X",
        "TaxonomyName": "Speech-Language Pathologist",
        "LicenseNumber": null,
        "LicenseNumberStateCode": "NULL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.