Speech Enhancement Diagnostic & Treatment Services, Inc.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

SPEECH ENHANCEMENT DIAGNOSTIC & TREATMENT SERVICES, INC.

Practice address

3612 Lincoln Hwy
Suite 2
Olympia Fields, IL 60461-1627

Phone

(708) 283-0411

Fax

(708) 283-3974

NPI assigned

Apr 1, 2008

Last updated

Apr 1, 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

Mrs. Tasha Gibson, CCC-SLP/LNPI 1841312931

Title

Director of Services

Phone

(708) 283-0411

Specialties & licenses 1

Addresses

Other names 1

• SEDTS Other name

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.

• Tasha L Gibson, M.S., CCC SLP L

  • Speech-Language Pathologist
  • Olympia Fields, IL
  • NPI 1841312931
  NPD (past) Authorized official

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1982876769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3612 LINCOLN HWY",
            "address_2": "SUITE 2",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611627",
            "telephone_number": "708-283-0411",
            "fax_number": "708-283-3974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3612 LINCOLN HWY",
            "address_2": "SUITE 2",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611627",
            "telephone_number": "708-283-0411",
            "fax_number": "708-283-3974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH ENHANCEMENT DIAGNOSTIC & TREATMENT SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-01",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "TASHA",
        "authorized_official_title_or_position": "DIRECTOR OF SERVICES",
        "authorized_official_telephone_number": "708-283-0411",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CCC-SLP/L"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SEDTS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Speech-Language Pathologist in Olympia Fields, IL
• Providers in Olympia Fields, 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 Apr 1, 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.