CYNTHIA OTOOLE - GRANBERRY (NPI# 1346757374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346757374 |
| Entity Type | Individual |
| Full Name | CYNTHIA OTOOLE - GRANBERRY |
| Other Name | CYNTHIA OTOOLE |
| Practice Address |
3615 W Gate Pkwy Rockford IL 61108-6162 |
| Practice Telephone | 8152292881 |
| Enumeration Date | 2017-12-28 |
| Last Update Date | 2017-12-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 235Z00000X | 05 |
| Street Address |
3615 W GATE PKWY |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61108-6162 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952862617 | Isr Enterprises, Inc. | Homemaker | 129 Phelps Ave, Bldg 10, Ste 1008, Rockford, IL 61108 | 2019-03-26 |
| 1003306465 | Adrienne Nicole Black | Behavior Technician | 519 Woodland Dr, Woodland Dr, Rockford, IL 61108 | 2018-05-11 |
| 1184085201 | Integrative Healing Center, LLC | Clinic/Center | 6019 Fincham Drive, Rockford, IL 61108 | 2016-03-17 |
| 1730547936 | Perryville Dentist PC | Dentist | 845 S Perryville Rd, Unit 119, Rockford, IL 61108 | 2016-02-02 |
| 1023489853 | Nicole Ping Ticknor | Counselor | 433 S. Phelps Ave., Suite 2, Rockford, IL 61108 | 2015-10-20 |
| 1275940348 | Northwest Home Care, Inc. | Home Health | 1437 S. Bell School Road, Suite 7, Rockford, IL 61108 | 2014-07-21 |
| 1487072922 | Alecia Greenlee | Psychiatry & Neurology | Rosecrance Community Mental Health, 3815 Harrison Avenue, Rockford, IL 61108 | 2014-04-02 |
| 1871925446 | Maria Laura Gustafson | Interpreter | 3208 Wesleyan Ave., Rockford, IL 61108 | 2013-08-06 |
| 1346582822 | Joseph Peevey | Pathology | 5666 E State Street, Department of Pathology, Rockford, IL 61108 | 2013-03-21 |
| 1134466923 | James Henry Peck | Hearing Instrument Specialist | 2424 Charles St, Rockford, IL 61108 | 2013-01-14 |
| Find all providers in zip 61108 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | 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, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063021715 | Mitten State Pediatric Therapy LLC | Speech-Language Pathologist | 6659 Craftsman Square Dr Ne, Rockford, MI 49341-8861 | 2020-07-29 |
| 1467079988 | Michelle Prach | Speech-Language Pathologist | 657 Self Hollow Rd, Rockford, TN 37853 | 2020-06-30 |
| 1093371221 | Teresa Jeannette Doherty | Speech-Language Pathologist | 420 Sunrise Ln, Rockford, IL 61107-4948 | 2019-05-13 |
| 1124536412 | Karen Lynn Locarno | Speech-Language Pathologist | 5620 Spring Creek Rd, Rockford, IL 61114-6442 | 2018-01-20 |
| 1245746627 | Jodi L Palmer | Speech-Language Pathologist | 2423 Burrmont Rd, Rockford, IL 61107-1839 | 2017-12-20 |
| 1871008920 | Sharon Marie Garlick | Speech-Language Pathologist | 3805 Rural St, Rockford, IL 61107-3555 | 2017-12-12 |
| 1154836799 | Kate Alison Dineen | Speech-Language Pathologist | 212 N London Ave, Rockford, IL 61107-4425 | 2017-12-05 |
| 1003320920 | Inna Natanova | Speech-Language Pathologist | 5222 Spring Creek Rd, Rockford, IL 61114-6330 | 2017-11-30 |
| 1265946313 | Jane Marie Sudderberg | Speech-Language Pathologist | 1751 Clinton St, Rockford, IL 61103-4804 | 2017-11-28 |
| 1558875799 | Lisa M Johnson | Speech-Language Pathologist | 3520 Kishwaukee St, Rockford, IL 61109-2005 | 2017-11-27 |
| Find all providers in ROCKFORD | ||||
Please comment or provide details below to improve the information on CYNTHIA OTOOLE - GRANBERRY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.