Speech Therapy Source, P.C.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

SPEECH THERAPY SOURCE, P.C.

Practice address

202 S Dunton Ave
Arlington Heights, IL 60005-1904

Phone

(847) 997-4672

Fax

(847) 259-7794

NPI assigned

Jan 9, 2007

Organization subpart

No

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

Authorized official

Name

Peter T Lyon, M.A., CCC-SLPNPI 1992832174

Title

Speech Language Pathologist

Phone

(847) 997-4672

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Peter T Lyon, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Arlington Heights, IL
  • NPI 1992832174
  NPD (past) Authorized official

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881743789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 S DUNTON AVE",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600051904",
            "telephone_number": "847-997-4672",
            "fax_number": "847-259-7794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 S DUNTON AVE",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600051904",
            "telephone_number": "847-997-4672",
            "fax_number": "847-259-7794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH THERAPY SOURCE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LYON",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "847-997-4672",
        "authorized_official_credential": "M.A., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Special Eyes
• Specialty Psychology P.C.
• Speech and Language for Kids LLC
• Speech and Language Pathways, LLC
• Speech Connections P.C.
• Cristian Alexander Speil, MD
• Carla Spellman, LCPC CADC
• Mary V Speno, PHD
• Kenneth A. Spero, M.D.
• Alan M Spiegel, M.D.

• All providers in Arlington Heights, IL
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.