NPIMap

Organization Active NPI

Eat and Speak Therapy, LLC

  • Speech-Language Pathologist
  • Phoenix, AZ
National Provider Identifier
1811286230
Registry record updated Apr 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP6117 Issued in AZ
Legal business name
EAT AND SPEAK THERAPY, LLC
Practice address
7217 N 25TH Dr
Phoenix, AZ 85051-6703
Phone
(602) 614-2255
NPI assigned
Apr 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2011

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

Authorized official

Name
Elizabeth Petrissans, MS CCC-SLPNPI 1760621064
Title
Speech-Language Pathologist
Phone
(602) 614-2255

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X SLP6117 AZ Primary

Addresses

Primary practice location

7217 N 25TH Dr
Phoenix, AZ 85051-6703

Mailing address

7217 N 25TH Dr
Phoenix, AZ 85051-6703
Phone (602) 614-2255

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1302048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302048000000",
    "number": "1811286230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7217 N 25TH DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850516703",
            "telephone_number": "602-614-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7217 N 25TH DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850516703",
            "telephone_number": "602-614-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAT AND SPEAK THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-06",
        "last_updated": "2011-04-06",
        "status": "A",
        "authorized_official_last_name": "PETRISSANS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "602-614-2255",
        "authorized_official_credential": "MS CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP6117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2011; 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.