Tippecanoe Speech Language Pathology

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

22004114A Issued in IN

Legal business name

TIPPECANOE SPEECH LANGUAGE PATHOLOGY

Practice address

310 Osprey Dr S
Lafayette, IN 47909-8164

Phone

(765) 414-5149

Fax

(765) 538-2774

NPI assigned

Jun 3, 2010

Last updated

Jun 3, 2010By 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. Lisa L Bunton

Title

Owner

Phone

(765) 414-5149

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275523200000",
    "number": "1467772210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 OSPREY DR S",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479098164",
            "telephone_number": "765-414-5149",
            "fax_number": "765-538-2774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 OSPREY DR S",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479098164",
            "telephone_number": "765-414-5149",
            "fax_number": "765-538-2774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIPPECANOE SPEECH LANGUAGE PATHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-03",
        "last_updated": "2010-06-03",
        "status": "A",
        "authorized_official_last_name": "BUNTON",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-414-5149",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22004114A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arielle Rebecca Tingle, MS, LMHCA, NCC
• Tippecanoe County Auditor (Tippencanoe County Health Department)
• Tippecanoe Emergency Ambulance Service (Teas)
• Tippecanoe Emergency Ambulance Service (Teas)
• Tippecanoe School Corporation
• Amir Tirmizi, MD
• Ashlie M Tislow
• TLC Homecare Inc
• Zeinab Tobaa, MD
• Shae Tocco

• Speech-Language Pathologist in Lafayette, IN
• Providers in Lafayette, 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 Jun 3, 2010; 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.