Children'S Language Development Center LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

CHILDREN'S LANGUAGE DEVELOPMENT CENTER LLC

Practice address

19 Muzzey St Ste 309a
Lexington, MA 02421-5211

Phone

(703) 310-8048

NPI assigned

May 11, 2019

Organization subpart

No

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

Authorized official

Name

Elise Phair, CCC-SLP

Title

Owner

Phone

(703) 310-8048

Specialties & licenses 1

Addresses

Other names 1

• n/a Other name

Locations

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

{
    "created_epoch": "1557532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557532800000",
    "number": "1780240143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 MUZZEY ST STE 309A",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024215211",
            "telephone_number": "703-310-8048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 MUZZEY ST STE 309A",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024215211",
            "telephone_number": "703-310-8048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S LANGUAGE DEVELOPMENT CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-11",
        "last_updated": "2019-05-11",
        "status": "A",
        "authorized_official_last_name": "PHAIR",
        "authorized_official_first_name": "ELISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-310-8048",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "n/a",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Speech-Language Pathologist in Lexington, MA
• Providers in Lexington, MA by specialty
• Speech-Language Pathologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2019; 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.