MIXED INCLUSION
NPI 1407521917
Speech-Language Pathologist in Homewood, IL
- Organization
- Speech-Language Pathologist
About MIXED INCLUSION
This page provides the complete NPI Profile along with additional information for Mixed Inclusion, a provider established in Homewood, Illinois operating as a Speech-language Pathologist. The healthcare provider is registered in the NPI registry with number 1407521917 assigned on August 2021. The practitioner's primary taxonomy code is 235Z00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Mixed Inclusion operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Camille O'quin Ed.d., Ccc-slp (Executive Director, Founder, Slp)
- NPI
- 1407521917 Verify this NPI
- Provider Name
- MIXED INCLUSION
- Entity Type
- Organization
- Location Address
- 1749 BURR OAK RD HOMEWOOD, IL 60430
- Location Phone
- (832) 599-4512
- Mailing Address
- 1749 BURR OAK RD HOMEWOOD, IL 60430
- Mailing Phone
- (832) 599-4512
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-16-2021
- Last Update Date
- 08-16-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Speech-Language Pathologist
- Taxonomy Code
- 235Z00000X
- Type
- Speech, Language and Hearing Service Providers
- Taxonomy Description
- The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2355S0801X | Speech, Language and Hearing Service Providers | Specialist/Technologist |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1407521917, enumerated as an "organization" on August 16, 2021.
The provider is located at 1749 BURR OAK RD HOMEWOOD, IL 60430 and the phone number is (832) 599-4512.
Speech-Language Pathologist with taxonomy code 235Z00000X.
