Grow Pediatric Therapy Corner, Pllc - Mental Health Clinic in Springfield, IL

Grow Pediatric Therapy Corner, Pllc is a mental health clinic (Speech-language Pathologist) in Springfield, Illinois. The current practice location for Grow Pediatric Therapy Corner, Pllc is 920 S Spring St, Springfield, Illinois. For appointments, you can reach them via phone at (708) 362-9839. The mailing address for Grow Pediatric Therapy Corner, Pllc is 920 S Spring St, Springfield, Illinois and phone number is () -.

Grow Pediatric Therapy Corner, Pllc is licensed to practice in * (Not Available) (license number ) and its NPI number is 1033985593. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (708) 362-9839.

Contact Information

Grow Pediatric Therapy Corner, Pllc
920 S Spring St
Springfield
IL 62704-2725
(708) 362-9839
Not Available

Mental Health Clinic Profile

Full NameGrow Pediatric Therapy Corner, Pllc
SpecialitySpeech-language Pathologist
Location920 S Spring St, Springfield, Illinois
Authorized Official Name and PositionDaj'za Mitchell (OWNER, SPEECH-LANGUAGE PATHOLOGIST)
Authorized Official Contact7083629839
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Grow Pediatric Therapy Corner, Pllc
920 S Spring St
Springfield
IL 62704-2725

Ph: () -
Grow Pediatric Therapy Corner, Pllc
920 S Spring St
Springfield
IL 62704-2725

Ph: (708) 362-9839

NPI Details:

NPI Number1033985593
Provider Enumeration Date11/27/2023
Last Update Date11/27/2023
Certification Date11/27/2023

Medical Identifiers

Medical identifiers for Grow Pediatric Therapy Corner, Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033985593NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103K00000XBehavior Analyst (* (Not Available))Secondary
106E00000XAssistant Behavior Analyst (* (Not Available))Secondary
106S00000XBehavior Technician (* (Not Available))Secondary
222Q00000XDevelopmental Therapist (* (Not Available))Secondary
224Z00000XOccupational Therapy Assistant (* (Not Available))Secondary
2251P0200XPhysical Therapist - Pediatrics (* (Not Available))Secondary
225200000XPhysical Therapy Assistant (* (Not Available))Secondary
225A00000XMusic Therapist (* (Not Available))Secondary
225X00000XOccupational Therapist (* (Not Available))Secondary
225XF0002XOccupational Therapist - Feeding, Eating & Swallowing (* (Not Available))Secondary
231H00000XAudiologist (* (Not Available))Secondary
2355S0801XSpecialist/technologist - Speech-language Assistant (* (Not Available))Secondary
235Z00000XSpeech-language Pathologist (* (Not Available))Primary
261QA3000XClinic/center - Augmentative Communication (* (Not Available))Secondary

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› Verified 6 days ago

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