Express Yourself Therapeutics, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

EXPRESS YOURSELF THERAPEUTICS, LLC

Practice address

635 Dupont St Unit M
Philadelphia, PA 19128-2660

Phone

(518) 429-8404

NPI assigned

Mar 31, 2021

Organization subpart

No

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

Authorized official

Name

Danielle KudlacikNPI 1811258718

Title

Owner/Speech-Language Pathologist

Phone

(267) 587-7314

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Danielle Kudlacik

  • Speech-Language Pathologist
  • Lafayette Hill, PA
  • NPI 1811258718
  NPD Authorized official

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

{
    "created_epoch": "1617148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617148800000",
    "number": "1487232393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 DUPONT ST UNIT M",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191282660",
            "telephone_number": "518-429-8404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 DUPONT ST UNIT M",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191282660",
            "telephone_number": "518-429-8404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESS YOURSELF THERAPEUTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-31",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A",
        "authorized_official_last_name": "KUDLACIK",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "OWNER/SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "267-587-7314"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811258718",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; 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.