Toddler Talk: Speech-Language Pathology

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

KY-2373 Issued in KY

Legal business name

TODDLER TALK: SPEECH-LANGUAGE PATHOLOGY

Practice address

643 Sweetwater Rd
Berea, KY 40403-8580

Phone

(606) 308-5396

Fax

(606) 256-9427

NPI assigned

Aug 13, 2007

Last updated

Aug 13, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Amy Yvonne Childress, M.A., ED., CCC-SLPNPI 1285835686

Title

Owner/Clinician

Phone

(606) 308-5396

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amy Yvonne Childress, M.A., ED., CCC-SLP

  • Speech-Language Pathologist
  • Berea, KY
  • NPI 1285835686
  NPD (past) Authorized official

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186963200000",
    "number": "1124210208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "643 SWEETWATER RD",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "404038580",
            "telephone_number": "606-308-5396",
            "fax_number": "606-256-9427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "643 SWEETWATER RD",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "404038580",
            "telephone_number": "606-308-5396",
            "fax_number": "606-256-9427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TODDLER TALK: SPEECH-LANGUAGE PATHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-13",
        "last_updated": "2007-08-13",
        "status": "A",
        "authorized_official_last_name": "CHILDRESS",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "YVONNE",
        "authorized_official_title_or_position": "OWNER/CLINICIAN",
        "authorized_official_telephone_number": "606-308-5396",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A., ED., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "KY-2373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Berea, KY
• Providers in Berea, KY by specialty
• Speech-Language Pathologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2007; 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.