Berry Blossoms Speech & Language Therapy PLLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

BERRY BLOSSOMS SPEECH & LANGUAGE THERAPY PLLC

Doing business as

Berry Blossoms Speech & Language Therapy

Practice address

8956 Delwood Dr
Freeland, MI 48623-9705

Phone

(989) 573-3109

NPI assigned

Nov 20, 2024

Last updated

Nov 20, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Abigail M Avery, MS, CCC-SLPNPI 1245957984

Title

Speech-Language Pathologist

Phone

(989) 573-3109

Specialties & licenses 1

Addresses

Other names 1

• Berry Blossoms Speech & Language Therapy Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Abigail M Avery

  • Speech-Language Pathologist
  • Freeland, MI
  • NPI 1245957984
  NPD Authorized official

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

{
    "created_epoch": "1732060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732060800000",
    "number": "1629893086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8956 DELWOOD DR",
            "city": "FREELAND",
            "state": "MI",
            "postal_code": "486239705",
            "telephone_number": "989-573-3109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8956 DELWOOD DR",
            "city": "FREELAND",
            "state": "MI",
            "postal_code": "486239705",
            "telephone_number": "989-573-3109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERRY BLOSSOMS SPEECH & LANGUAGE THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-20",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A",
        "authorized_official_last_name": "AVERY",
        "authorized_official_first_name": "ABIGAIL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "989-573-3109",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Berry Blossoms Speech & Language Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Speech-Language Pathologist in Freeland, MI
• Providers in Freeland, MI by specialty
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.