Damaris Miltenberger Language & Learning Center, LTD

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146002025 Issued in IL

Legal business name

DAMARIS MILTENBERGER LANGUAGE & LEARNING CENTER, LTD

Practice address

301 S. Wall St.
Suite B
Carbondale, IL 62902

Phone

(618) 351-1279

Fax

(618) 351-6369

NPI assigned

Jan 17, 2007

Last updated

Jul 14, 2008By 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

Damaris MiltenbergerNPI 1831588961

Title

Owner

Phone

(618) 351-1279

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Damaris Miltenberger

  • Speech-Language Pathologist
  • Carbondale, IL
  • NPI 1831588961
  Authorized official Same address or phone

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1942352083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3295",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629023295",
            "telephone_number": "618-351-1279",
            "fax_number": "618-351-6369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S. WALL ST.",
            "address_2": "SUITE B",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "62902",
            "telephone_number": "618-351-1279",
            "fax_number": "618-351-6369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAMARIS MILTENBERGER LANGUAGE & LEARNING CENTER, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "MILTENBERGER",
        "authorized_official_first_name": "DAMARIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-351-1279"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146002025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "405587167001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jean A. Cunningham, PH.D.
• Jacob Daar, BCBA
• Nader J Dababneh, M.D.
• Christine Marie Dakin, CRNA
• Karam Logan Dallow, MD
• Roy R Danks, DO
• Brianna Lee Darnell
• Chandana Dash, OTR
• Tracy Ann Daugherty, MS, ATC, PTA
• John Howard Davidson, PA

• Speech-Language Pathologist in Carbondale, IL
• Providers in Carbondale, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; 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.