The Speech Clinic, Inc

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

Legal business name

THE SPEECH CLINIC, INC

Practice address

5147 W Woodmill Dr Ste 21
Wilmington, DE 19808-4067

Phone

(302) 999-0702

NPI assigned

Nov 14, 2022

Organization subpart

No

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

Authorized official

Name

Adam Azzara

Title

Director

Phone

(302) 999-0702

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

Locations

Practitioners 2

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

• Nicole Rose Immediato, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Wilmington, DE
  • NPI 1013793918
  Medicare reassignment NPD
• Kathryn Azzara, CCC-SLP

  • Speech-Language Pathologist
  • Narberth, PA
  • NPI 1861844458
  NPD

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

{
    "created_epoch": "1668384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668384000000",
    "number": "1316655855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5147 W WOODMILL DR STE 21",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198084067",
            "telephone_number": "302-999-0702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5147 W WOODMILL DR STE 21",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198084067",
            "telephone_number": "302-999-0702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SPEECH CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-14",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A",
        "authorized_official_last_name": "AZZARA",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "302-999-0702"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hearing and Speech Clinic/Center in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Hearing and Speech Clinic/Center in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.