Enlightened Speech Pathology Services PLLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

ENLIGHTENED SPEECH PATHOLOGY SERVICES PLLC

Practice address

2612 Bayview South KNL
Albert Lea, MN 56007-4014

Phone

(507) 369-3136

NPI assigned

Mar 18, 2024

Organization subpart

No

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

Authorized official

Name

Alissa Allison, MS, CCC-SLP

Title

Speech Language Pathologist

Phone

(507) 369-3136

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713312000000",
    "number": "1952160434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2612 BAYVIEW SOUTH KNL",
            "city": "ALBERT LEA",
            "state": "MN",
            "postal_code": "560074014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2612 BAYVIEW SOUTH KNL",
            "city": "ALBERT LEA",
            "state": "MN",
            "postal_code": "560074014",
            "telephone_number": "507-369-3136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENLIGHTENED SPEECH PATHOLOGY SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A",
        "authorized_official_last_name": "ALLISON",
        "authorized_official_first_name": "ALISSA",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "507-369-3136",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "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 Albert Lea, MN
• Providers in Albert Lea, MN by specialty
• Speech-Language Pathologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.