Innovations Speech Therapy LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

112321 Issued in MO

Legal business name

INNOVATIONS SPEECH THERAPY LLC

Doing business as

Innovations Speech Therapy

Practice address

105 Cloverleaf Meadows CT
O Fallon, MO 63366-4190

Phone

(636) 485-1432

Fax

(636) 246-0302

NPI assigned

Oct 10, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Craig H Hartman, MHS, CCC-SLPNPI 1255684205

Title

Owner

Phone

(636) 485-1432

Specialties & licenses 1

Addresses

Other names 1

• Innovations Speech 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.

• Craig Hartman, MHS, CCC-SLP

  • Speech-Language Pathologist
  • O'Fallon, MO
  • NPI 1255684205
  NPD (past) Authorized official

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

{
    "created_epoch": "1381363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381363200000",
    "number": "1770910515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 CLOVERLEAF MEADOWS CT",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633664190",
            "telephone_number": "636-485-1432",
            "fax_number": "636-246-0302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 CLOVERLEAF MEADOWS CT",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633664190",
            "telephone_number": "636-485-1432",
            "fax_number": "636-246-0302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIONS SPEECH THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-10",
        "last_updated": "2013-10-10",
        "status": "A",
        "authorized_official_last_name": "HARTMAN",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-485-1432",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MHS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "112321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Innovations Speech Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amy Christine Ilgenfritz, M.A., LPC
• Didem O Ince, DDS MS PHD
• Katie Ingebretson, MSW, LCSW
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• Kristin Inkley, LMSW
• Innovative Counseling Services, Inc (Cynthia M. Eisenbeis)
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• Marium Iqbal
• Iris Counseling Center

• Speech-Language Pathologist in O'Fallon, MO
• Providers in O'Fallon, MO by specialty
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2013; 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.