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Basha Ontiveros, MS,CCC-SLP
Speech-Language Pathologist in Bloomington, Illinois
NPI 1629083423

Basha Ontiveros is a Speech-Language Pathologist based in Bloomington, IL. Basha Ontiveros practices in Bloomington, IL and has the professional credentials of MS,CCC-SLP. The NPI Number for Basha Ontiveros is 1629083423 and holds a License No. 146007682 (Illinois).

The current practice location address for Basha Ontiveros is 2416 E Washington St Ste C5, Bloomington, IL and can be reached out via phone at 913-730-5925 and via fax at 202-931-7876.

Location: 2416 E Washington St Ste C5, Bloomington, IL, 61701-2029
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629083423
Provider Name
Basha Ontiveros
Credential
MS,CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
2416 E Washington St Ste C5, Bloomington, IL, 61701-2029
Phone Number
913-730-5925
Fax Number
202-931-7876
Provider Enumeration Date
07/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5732059 01 IL BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
2416 E Washington St Ste C5
City
Bloomington
State
Illinois
Zip
61704-1629
Phone Number
913-730-5925
Fax Number
202-931-7876
person
Provider Business Mailing Address Details
Address
2416 E Washington St Ste C5
City
Bloomington
State
Illinois
Zip
61704-1629
Phone Number
913-730-5925
Fax Number
202-931-7876
person
Provider's Taxonomy Details 1
Type
Speech, Language and Hearing Service Providers
Classification
Speech-Language Pathologist
Speciality
-
Taxonomy
235Z00000X
License No.
146007682 (Illinois)
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.
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