Imani Therapies LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7390 Issued in MA

Legal business name

IMANI THERAPIES LLC

Practice address

3 Hersey St
Bedford, NH 03110-6430

Phone

(603) 793-1906

NPI assigned

Jul 15, 2016

Organization subpart

No

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

Authorized official

Name

Beth Therese Mbuga, M.S. CCC-SLP

Title

Manager/Speech Language Pathologist

Phone

(603) 793-1906

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1468540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468540800000",
    "number": "1588017487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 HERSEY ST",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106430",
            "telephone_number": "603-793-1906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 HERSEY ST",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106430",
            "telephone_number": "603-793-1906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMANI THERAPIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-15",
        "last_updated": "2016-07-15",
        "status": "A",
        "authorized_official_last_name": "MBUGA",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "THERESE",
        "authorized_official_title_or_position": "MANAGER/SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "603-793-1906",
        "authorized_official_credential": "M.S. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NH",
            "license": "1530",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "7390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Bedford, NH
• Providers in Bedford, NH by specialty
• Speech-Language Pathologist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2016; 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.