Mobile Dysphagia Specialists

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146.003458 Issued in IL

Legal business name

MOBILE DYSPHAGIA SPECIALISTS

Practice address

2209A E Slade LN
Mahomet, IL 61853-2816

Phone

(217) 377-3568

NPI assigned

Oct 19, 2015

Last updated

Oct 19, 2015By 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

Mrs. Debbie D Harper

Title

Owner

Phone

(217) 377-3568

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1445212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445212800000",
    "number": "1447621206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209A E SLADE LN",
            "city": "MAHOMET",
            "state": "IL",
            "postal_code": "618532816",
            "telephone_number": "217-377-3568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2209A E SLADE LN",
            "city": "MAHOMET",
            "state": "IL",
            "postal_code": "618532816",
            "telephone_number": "217-377-3568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE DYSPHAGIA SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-19",
        "last_updated": "2015-10-19",
        "status": "A",
        "authorized_official_last_name": "HARPER",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-377-3568",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.003458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noelle E Meyer, DPT
• Kathryn Elaine Miller Rose
• Amelia K Miller
• Minnesota Learning Connection, Inc.
• Anna M Minor
• Deanna Morelli, LCPC
• Christopher D Nelson, MD
• Trisha Nicole Nelson, LCSW
• Lisa Novinska, LCPC
• Jacqueline Joann O'Brien, PHARM. D.

• Speech-Language Pathologist in Mahomet, IL
• Providers in Mahomet, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; 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.