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ABUNDANT LIFE THERAPY SERVICES, LLC
NPI 1710417035
Speech-Language Pathologist in Glendale, AZ

Active since June 19, 2017
7836 W MCLELLAN RD, GLENDALE, AZ 85303(602) 428-1617(602) 636-2575 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Jun 19, 2017 (2 updates tracked since 2017).

About Abundant Life Therapy Services, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ABUNDANT LIFE THERAPY SERVICES, LLC (NPI 1710417035) is a healthcare organization registered as a speech-language pathologist in Glendale, Arizona and active in the NPI registry since June 2017. The organization lists Shanikka Perryman, Owner/director, as its authorized official.

NPPES Registry Identity

NPI1710417035
Entity TypeOrganization
Primary Taxonomy235Z00000X
Legal Business NameABUNDANT LIFE THERAPY SERVICES, LLC
Location Address7836 W MCLELLAN RDGlendale, AZ 85303-3405
Mailing Address7836 W Mclellan RdGlendale, AZ 85303-3405 · (602) 428-1617 · Fax (602) 636-2575
Phone(602) 428-1617
Fax(602) 636-2575
Organization SubpartNo
Authorized OfficialShanikka PerrymanOwner/director · (602) 614-5584
Enumeration DateJune 19, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1710417035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Definition
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.
Also ListedSpecialist/Technologist · Speech-Language AssistantTaxonomy 2355S0801X
7836 W MCLELLAN RD, Glendale, AZ 85303
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIONA RAQUEL LYNN
Specialist/Technologist (Speech-Language Assistant)
7836 W MCLELLAN RD
GLENDALE, AZ 85303
Maricopa County (602) 428-1617

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Abundant Life Therapy Services, LLC's NPI number?

The NPI number for Abundant Life Therapy Services, LLC is 1710417035. It was assigned to this organization in the NPPES registry on June 19, 2017.

Where is Abundant Life Therapy Services, LLC located?

Abundant Life Therapy Services, LLC is located at 7836 W Mclellan Rd, Glendale, AZ 85303. The listed phone number is (602) 428-1617.

What is Abundant Life Therapy Services, LLC's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Abundant Life Therapy Services, LLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.