Precious Ones Speech Language Therapy, Inc.

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

146.007778 Issued in IL

Legal business name

PRECIOUS ONES SPEECH LANGUAGE THERAPY, INC.

Practice address

4240 Castle Rock Cir
Aurora, IL 60504-8414

Phone

(630) 631-2095

Fax

(866) 887-1597

NPI assigned

Aug 7, 2009

Organization subpart

No

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

Authorized official

Name

Nicolette Rose Wohlfahrt, M.S. CCC-SLP/L

Title

President

Phone

(630) 631-2095

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1249603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249603200000",
    "number": "1346471315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4240 CASTLE ROCK CIR",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605048414",
            "telephone_number": "630-631-2095",
            "fax_number": "866-887-1597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4240 CASTLE ROCK CIR",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605048414",
            "telephone_number": "630-631-2095",
            "fax_number": "866-887-1597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECIOUS ONES SPEECH LANGUAGE THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-07",
        "last_updated": "2009-08-07",
        "status": "A",
        "authorized_official_last_name": "WOHLFAHRT",
        "authorized_official_first_name": "NICOLETTE",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-631-2095",
        "authorized_official_credential": "M.S. CCC-SLP/L"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "IL",
            "license": "146.007778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2009; 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.