Sun River Speech Therapy, LLC

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

License

LL 60201290 Issued in WA

Legal business name

SUN RIVER SPEECH THERAPY, LLC

Practice address

309 Bradley Blvd
Suite 212
Richland, WA 99352-4381

Phone

(509) 521-4034

Fax

(855) 659-0687

NPI assigned

Jun 13, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Katherine Jeanne Oberhofer, MS CCC-SLPNPI 1023082286

Title

Owner, Speech-Language Pathologist

Phone

(509) 521-4034

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Katherine Jeanne Oberhofer, MS CCC-SLP

  • Speech-Language Pathologist
  • Bellevue, WA
  • NPI 1023082286
  NPD Authorized official
• Lauren Fijeldsted Allen, MS, CCC-SLP

  • Speech-Language Pathologist
  • Richland, WA
  • NPI 1285050567
  NPD (past)

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

{
    "created_epoch": "1371081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371081600000",
    "number": "1124466917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 BRADLEY BLVD",
            "address_2": "SUITE 212",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524381",
            "telephone_number": "509-521-4034",
            "fax_number": "855-659-0687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 BRADLEY BLVD",
            "address_2": "SUITE 212",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524381",
            "telephone_number": "509-521-4034",
            "fax_number": "855-659-0687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN RIVER SPEECH THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-13",
        "last_updated": "2013-06-13",
        "status": "A",
        "authorized_official_last_name": "OBERHOFER",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "JEANNE",
        "authorized_official_title_or_position": "OWNER, SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "509-521-4034",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "WA",
            "license": "LL 60201290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela L Sullivan, D.C.
• Icel R Sullivan, ARNP
• Jeffrey Allen Sullivan, D.C.
• Linell Summers, R.C.
• Kristine E Sumner, SLP
• Support, Advocacy, and Resource Center
• Surgical Weight Loss Clinic of Eastern Washington PLLC
• Erin Renee Sutton, L.M.P.
• Suzanne R Snow DDS PLLC
• Sunnee Glancey Swanby, LMP

• Hearing and Speech Clinic/Center in Richland, WA
• Providers in Richland, WA by specialty
• Hearing and Speech Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2013; 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.