Christina Bocken, SLP
Individual provider Active NPI Speech-Language Pathologist · Dyer, IN
NPI 1477906394 · NPPES record last updated Jan 24, 2024
Key facts
- NPI
- 1477906394
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 146012294 (IL)
- Practice address
- 440 Edmond Dr
Dyer, IN 46311-1523 - Phone
- (219) 322-1415
- NPI assigned
- Jul 15, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146012294 | IL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wee Care Therapy LTD | Speech-Language Pathologist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 146012294 | IL | Yes |
Addresses
Primary practice location
440 Edmond Dr
Dyer, IN 46311-1523
Mailing address
440 Edmond Dr
Dyer, IN 46311-1523
Phone (219) 322-1415
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780630525 | Other | IN | AGENCY NPI |
Other providers in Dyer, IN
- Umar Bhatti
- Bio-Medical Applications of Indiana, Inc.
- Kidanu Birhanu
- Lara Marie Blanchard
- Christina Blazo
- Mohen Bohjwani
- Angela Boose
- James A Borgetti
- Alyssa Marie Borkowski
- Valerie Boromisa
All providers in Dyer, IN · Speech-Language Pathologist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.