Organization Active NPI

Speech & Language Development Center

  • Speech-Language Pathologist
  • Carbondale, IL
National Provider Identifier
1962834523
Registry record updated Aug 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
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

Updated by the provider on Aug 6, 2013

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)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.