Individual provider · Type 1 NPI

Basha Ontiveros, M.S., CCC-SLP

Speech-Language Pathologist · Bloomington, IL

NPI number 1629083423 Active

Practice location

2416 E Washington St Ste C5
Bloomington, IL 61704-1629

Fax (202) 931-7876

Mailing address

207 Imperial Dr
Bloomington, IL 61701-2029

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X146007682 (IL)

Speech-Language Pathologist: 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, resonan…

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About NPI 1629083423

Basha Ontiveros, M.S., CCC-SLP's National Provider Identifier is 1629083423, issued on Jul 30, 2006. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Bloomington, IL. The record was last updated on Aug 22, 2022.