Michiana Speech Lab LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

MICHIANA SPEECH LAB LLC

Practice address

227 S Main St Ste 100
South Bend, IN 46601-2124

Phone

(574) 323-3785

Fax

(574) 544-5977

NPI assigned

Jul 24, 2024

Last updated

Jul 24, 2024By 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

Annalisa LaymanNPI 1548024565

Title

Member

Phone

(574) 323-3785

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Annalisa Layman, M.A., CCC-SLP

  • Speech-Language Pathologist
  • South Bend, IN
  • NPI 1548024565
  NPD Authorized official
• Rebecca Shultz, MS, CCC-SLP

  • Speech-Language Pathologist
  • South Bend, IN
  • NPI 1083478002
  NPD

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

{
    "created_epoch": "1721779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721779200000",
    "number": "1942038526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 S MAIN ST STE 100",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466012124",
            "fax_number": "574-544-5977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 S MAIN ST STE 100",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466012124",
            "telephone_number": "574-323-3785",
            "fax_number": "574-544-5977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIANA SPEECH LAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-24",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A",
        "authorized_official_last_name": "LAYMAN",
        "authorized_official_first_name": "ANNALISA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "574-323-3785"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in South Bend, IN
• Providers in South Bend, IN by specialty
• Speech-Language Pathologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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.