Woodbourne Speech and Language Center, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL008039 Issued in PA

Legal business name

WOODBOURNE SPEECH AND LANGUAGE CENTER, LLC

Practice address

81 Big Oak Rd
Suite 101
Yardley, PA 19067-7801

Phone

(215) 337-9420

Fax

(215) 337-9423

NPI assigned

Apr 8, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Kim Banson Banson Sabourin, M.A.

Title

Director

Phone

(215) 337-9420

Specialties & licenses 1

Addresses

Other names 1

• WSLC Other name

Locations

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1396918645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 BIG OAK RD",
            "address_2": "SUITE 101",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190677801",
            "telephone_number": "215-337-9420",
            "fax_number": "215-337-9423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 BIG OAK RD",
            "address_2": "SUITE 101",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190677801",
            "telephone_number": "215-337-9420",
            "fax_number": "215-337-9423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODBOURNE SPEECH AND LANGUAGE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "SABOURIN",
        "authorized_official_first_name": "KIM BANSON",
        "authorized_official_middle_name": "BANSON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "215-337-9420",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL008039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WSLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Speech-Language Pathologist in Yardley, PA
• Providers in Yardley, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; 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.