Lily Pearl Speech Therapy, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

22005087A Issued in IN

Legal business name

LILY PEARL SPEECH THERAPY, LLC

Practice address

824 W 4TH St
Bloomington, IN 47404-5012

Phone

(812) 322-0052

NPI assigned

Jul 12, 2013

Organization subpart

No

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

Authorized official

Name

Suzannah Margaret Edgar, MA, CCC-SLP

Title

Owner

Phone

(812) 322-0052

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1373587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373587200000",
    "number": "1447691910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 W. 4TH ST.",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "47404",
            "telephone_number": "812-322-0052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 W 4TH ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474045012",
            "telephone_number": "812-322-0052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILY PEARL SPEECH THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-12",
        "last_updated": "2013-07-12",
        "status": "A",
        "authorized_official_last_name": "EDGAR",
        "authorized_official_first_name": "SUZANNAH",
        "authorized_official_middle_name": "MARGARET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-322-0052",
        "authorized_official_credential": "MA, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22005087A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Life Paths Counseling, LLC
• Lifespan, Inc.
• Lifetime Dental Care of Indiana, PC (Landmark Family Dental Care)
• Nicholas Austin Lightfoot
• Noah Like
• Limestone Health, LLC (MedMark Treatment Centers Bloomington)
• Lincare Inc
• Linda Bannister Counseling, LLC
• Lindeman and Associates, LLC
• James Robert Lindner, MD

• Speech-Language Pathologist in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Speech-Language Pathologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2013; 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.