MEDICARE: GLOBAL THERAPY INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1255839643
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GLOBAL THERAPY INC

Provider Business Mailing Address
First Line	:	1 ROBIN CT
Second Line	:
City	:	EDWARDSVILLE
State	:	IL
Zip	:	62025-5532
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2710 COLLEGE AVE STE F
Second Line	:
City	:	ALTON
State	:	IL
Zip	:	62002-4707
Country	:	US
Telephone Number	:	618-530-7462
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	CIERRA HALL
Credential	:	CCC-SLP
Telephone Number	:	618-530-7462

Provider Enumeration Date	:	01/31/2018
Last Update Date	:	12/30/2022

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Directions to “GLOBAL THERAPY INC ” Practice Location

Language	Start Address	Practice Location

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