Holistic Speech & Language, LLC

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

License

LL60023213 Issued in WA

Legal business name

HOLISTIC SPEECH & LANGUAGE, LLC

Practice address

635 SW Pelton PL
Bend, OR 97702-1207

Phone

(206) 409-9964

Fax

(206) 905-0104

NPI assigned

Jun 13, 2018

Last updated

Nov 17, 2023By 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

Tiffany (Ty) Lockhart, M.A., CCC-SLPNPI 1699920421

Title

Owner/SLP

Phone

(206) 409-9964

Specialties & licenses 1

Addresses

Locations

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.

• Tiffany (Ty) Lockhart, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Bend, OR
  • NPI 1699920421
  NPD Authorized official

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

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700179200000",
    "number": "1336632348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 SW PELTON PL",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021207",
            "telephone_number": "206-409-9964",
            "fax_number": "206-905-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 SW PELTON PL",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021207",
            "telephone_number": "206-409-9964",
            "fax_number": "206-905-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC SPEECH & LANGUAGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-13",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A",
        "authorized_official_last_name": "LOCKHART",
        "authorized_official_first_name": "TIFFANY (TY)",
        "authorized_official_title_or_position": "OWNER/SLP",
        "authorized_official_telephone_number": "206-409-9964",
        "authorized_official_credential": "M.A., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "WA",
            "license": "LL60023213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristine Hohulin, APRN FNP-C
• Emma Dale Hoiness
• Donna Elizabeth Hoitsma, LMT
• Holbrook Enterprise Inc. (Bend Healing Chiropractic)
• Jeremy Scott Holbrook, D.C.
• Robert E Hollander III, PT
• Emily Hollinger
• John Holloman, LMT, RMT
• Angela Holloway, MA
• Dorothy Jean Holloway, LPC, RN

• Hearing and Speech Clinic/Center in Bend, OR
• Providers in Bend, OR by specialty
• Hearing and Speech Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; 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.