Ridgewood Speech Therapy

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

22004852A Issued in IN

Legal business name

RIDGEWOOD SPEECH THERAPY

Practice address

1105 Village Green Dr
Angola, IN 46703-9311

Phone

(248) 921-7794

NPI assigned

Oct 20, 2010

Organization subpart

No

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

Authorized official

Name

Allison Thompson, MA CCC-SLP

Title

Owner

Phone

(248) 921-7794

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287532800000",
    "number": "1578873725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 VILLAGE GREEN DR",
            "city": "ANGOLA",
            "state": "IN",
            "postal_code": "467039311",
            "telephone_number": "248-921-7794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 VILLAGE GREEN DR",
            "city": "ANGOLA",
            "state": "IN",
            "postal_code": "467039311",
            "telephone_number": "248-921-7794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGEWOOD SPEECH THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-20",
        "last_updated": "2010-10-20",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-921-7794",
        "authorized_official_credential": "MA CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22004852A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• R Wyatt Weaver Jr,M.D.
• Gina Marie Rasler, COTA
• Anne Reitz, N.P.
• Danielle Renee Rhinesmith
• Amber Joy Richards, MSW
• Rise, Inc.
• Carson Roberts, DO
• Joyce A Rockwell, DDS
• Rooted Counseling and Wellness, LLC
• Justina Marie Rowan, B.S. EDUCATION

• Speech-Language Pathologist in Angola, IN
• Providers in Angola, 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 20, 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.