Progressive Speech Services, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

22002720A Issued in IN

Legal business name

PROGRESSIVE SPEECH SERVICES, LLC

Practice address

12668 Largo Dr
Fishers, IN 46037-8188

Phone

(317) 598-1483

Fax

(317) 598-1483

NPI assigned

Oct 3, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Sara Lynn Myrvold, M.S. CCC-SLP

Title

President/ Speech Pathologist

Phone

(317) 598-1483

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1222992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222992000000",
    "number": "1467603886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12668 LARGO DR",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460378188",
            "telephone_number": "317-598-1483",
            "fax_number": "317-598-1483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12668 LARGO DR",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460378188",
            "telephone_number": "317-598-1483",
            "fax_number": "317-598-1483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE SPEECH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-03",
        "last_updated": "2008-10-03",
        "status": "A",
        "authorized_official_last_name": "MYRVOLD",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT/ SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "317-598-1483",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22002720A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPI (LEGACY PROVIDER IDENTIFIER",
            "identifier": "200716160 A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Fishers, IN
• Providers in Fishers, 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 Oct 3, 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.