Infinite Speech, Swallowing and Neurological Rehabilitation LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

INFINITE SPEECH, SWALLOWING AND NEUROLOGICAL REHABILITATION LLC

Practice address

5635 Green Island Blvd
Lake Worth, FL 33463-7352

Phone

(770) 714-0642

NPI assigned

Dec 17, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Chanel Mercedes Morris-Stephens, M.A., CCC-SLP

Title

Owner

Phone

(707) 140-6427

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545004800000",
    "number": "1104398056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5635 GREEN ISLAND BLVD",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334637352",
            "telephone_number": "770-714-0642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5635 GREEN ISLAND BLVD",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334637352",
            "telephone_number": "770-714-0642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITE SPEECH, SWALLOWING AND NEUROLOGICAL REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-17",
        "last_updated": "2018-12-17",
        "status": "A",
        "authorized_official_last_name": "MORRIS-STEPHENS",
        "authorized_official_first_name": "CHANEL",
        "authorized_official_middle_name": "MERCEDES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-140-6427",
        "authorized_official_credential": "M.A., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.