Active NPI
Speech & Language Development Center
- Speech-Language Pathologist
- Carbondale, IL
National Provider Identifier
1962834523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- SPEECH & LANGUAGE DEVELOPMENT CENTER
- Practice address
- 800 E Walnut St
Suite a
Carbondale, IL 62901-3142 - Phone
- (618) 351-0444
- Fax
- (618) 351-0448
- NPI assigned
- Aug 6, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Erin Marie Cheak, M.S., CCC-SLP
- Title
- Owner/Speech-Language Pathologist
- Phone
- (618) 351-0444
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
800 E Walnut St
Suite a
Carbondale, IL 62901-3142
Mailing address
800 E Walnut St
Suite a
Carbondale, IL 62901-3142
Phone (618) 351-0444
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1375747200000",
"number": "1962834523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 E WALNUT ST",
"address_2": "SUITE A",
"city": "CARBONDALE",
"state": "IL",
"postal_code": "629013142",
"telephone_number": "618-351-0444",
"fax_number": "618-351-0448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 E WALNUT ST",
"address_2": "SUITE A",
"city": "CARBONDALE",
"state": "IL",
"postal_code": "629013142",
"telephone_number": "618-351-0444",
"fax_number": "618-351-0448"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPEECH & LANGUAGE DEVELOPMENT CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-06",
"last_updated": "2013-08-06",
"status": "A",
"authorized_official_last_name": "CHEAK",
"authorized_official_first_name": "ERIN",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "OWNER/SPEECH-LANGUAGE PATHOLOGIST",
"authorized_official_telephone_number": "618-351-0444",
"authorized_official_credential": "M.S., 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": []
}
Other providers in Carbondale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.