1801671979 NPI number — HELP ME GROW SPEECH THERAPY LLC

Table of content: DR. NANCY LYNN DANOFF MD, MPH (NPI 1780755017)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1801671979 NPI number — HELP ME GROW SPEECH THERAPY LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HELP ME GROW SPEECH THERAPY LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
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Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1801671979
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/28/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1810 JEANETTE AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAINT CHARLES
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60174-4690
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
630-404-0494
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1810 JEANETTE AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAINT CHARLES
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60174-4690
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
630-404-0494
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/28/2023

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
DOHERTY
Authorized Official First Name:
LAURA
Authorized Official Middle Name:
ANNE
Authorized Official Title or Position:
SPEECH-LANGUAGE PATHOLOGIST
Authorized Official Telephone Number:
630-404-0494

Provider Taxonomy Codes

  • Taxonomy code: 235Z00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)