NPIMap

Avanti Lal Bhatia, M.S.

Individual provider Active NPI Speech-Language Pathologist · Vail, CO

NPI 1609056613 · NPPES record last updated Nov 17, 2014

Key facts

NPI
1609056613
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SLP.0001843 (CO)
Practice address
1457 Greenhill CT
Vail, CO 81657-5325
Phone
(847) 650-8174
Fax
(970) 470-4272
NPI assigned
Nov 7, 2007
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
242000725ILMDSpeech-Language Assistant
SLP.0001843COMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Illinois University Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X 242000725 IL
Speech-Language Pathologist 235Z00000X SLP.0001843 CO Yes

Addresses

Primary practice location

1457 Greenhill CT
Vail, CO 81657-5325

Mailing address

1457 Greenhill CT
Vail, CO 81657-5325
Phone (847) 650-8174

Other names

  • Avanti Lal Former name

Other providers in Vail, CO

All providers in Vail, CO · Speech-Language Pathologist in Colorado

Sources for this page

Verify at the official NPI Registry.