Pediatric Speech, Feeding, and Swallowing Center, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL011121 Issued in PA

Legal business name

PEDIATRIC SPEECH, FEEDING, AND SWALLOWING CENTER, LLC

Practice address

725 S Harrison St
Kittanning, PA 16201-2323

Phone

(724) 919-3528

NPI assigned

Nov 3, 2015

Last updated

Nov 3, 2015By 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

Dr. Jennifer Marie Pusins, CSCD, CCC-SLP

Title

Speech Pathologist/Owner

Phone

(724) 919-3528

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1446508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446508800000",
    "number": "1881067593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 S HARRISON ST",
            "city": "KITTANNING",
            "state": "PA",
            "postal_code": "162012323",
            "telephone_number": "724-919-3528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 S HARRISON ST",
            "city": "KITTANNING",
            "state": "PA",
            "postal_code": "162012323",
            "telephone_number": "724-919-3528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC SPEECH, FEEDING, AND SWALLOWING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-03",
        "last_updated": "2015-11-03",
        "status": "A",
        "authorized_official_last_name": "PUSINS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST/OWNER",
        "authorized_official_telephone_number": "724-919-3528",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "CSCD, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL011121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD NUMBER",
            "identifier": "3192552",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Kittanning, PA
• Providers in Kittanning, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2015; 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.