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THE INDIGO CHILD THERAPEUTIC
NPI 1912514910
Speech-Language Pathologist in Clinton, MD

Active since September 24, 2020
7491 OLD ALEXANDRIA FERRY RD, CLINTON, MD 20772(202) 277-5378(240) 269-7799 Get Directions Write a Review

NPPES record last updated: October 23, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 18, 2021, Jan 21, 2021, Jan 15, 2021 and 2 more (5 updates tracked since 2020).

About The Indigo Child Therapeutic NPPES

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

THE INDIGO CHILD THERAPEUTIC (NPI 1912514910) is a healthcare organization registered as a speech-language pathologist in Clinton, Maryland and active in the NPI registry since September 2020. The organization maintains a secondary practice location in Clinton and lists Tiffany Dicks, Owner, as its authorized official.

NPPES Registry Identity

NPI1912514910
Entity TypeOrganization
Primary Taxonomy235Z00000X
Legal Business NameTHE INDIGO CHILD THERAPEUTIC LLC
Location Address7491 OLD ALEXANDRIA FERRY RDClinton, MD 20772
Mailing Address9722 Green Apple TurnUpper Marlboro, MD 20772-4423 · (202) 277-5378
Phone(202) 277-5378
Fax(240) 269-7799
Organization SubpartNo
Authorized OfficialTiffany DicksOwner · (240) 244-9778
Enumeration DateSeptember 24, 2020
Last NPPES UpdateOctober 23, 20245 updates tracked since enumeration
NPPES CertifiedOctober 21, 2024
✔ NPI 1912514910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ 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 ListedBehavior AnalystTaxonomy 103K00000X
Also ListedOccupational Therapy AssistantTaxonomy 224Z00000X
Also ListedPhysical TherapistTaxonomy 225100000X
Also ListedOccupational TherapistTaxonomy 225X00000X
Also ListedSpecialist/Technologist · Speech-Language AssistantTaxonomy 2355S0801X
7491 OLD ALEXANDRIA FERRY RD, Clinton, MD 20772
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Other Names 2

Doing Business AsThe Indigo Child Therapeutic
Doing Business AsTic Therapeutic

Secondary Practice Location 1

Location 17491 Old Alexandria Ferry RdClinton, MD 20735-1845 · Phone (240) 244-9778 · Fax (240) 269-7799

Other Identifiers 1

Medicaid444331400MD

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 The Indigo Child Therapeutic LLC's NPI number?

The NPI number for The Indigo Child Therapeutic LLC is 1912514910. It was assigned to this organization in the NPPES registry on September 24, 2020. The provider is doing business as The Indigo Child Therapeutic and TIC Therapeutic.

Where is The Indigo Child Therapeutic LLC located?

The Indigo Child Therapeutic LLC is located at 7491 Old Alexandria Ferry Rd, Clinton, MD 20772. The listed phone number is (202) 277-5378.

What is The Indigo Child Therapeutic 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 The Indigo Child Therapeutic LLC was last updated on October 23, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.