CYNTHIA OTOOLE - GRANBERRY


Address: 3615 W Gate Pkwy, Rockford, IL 61108-6162
Phone: 8152292881

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist Speech, Language and Hearing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
IL 235Z00000X 05

Office Location

Street Address 3615 W GATE PKWY
City ROCKFORD
State IL
Zip Code 61108-6162

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 235Z00000X
Grouping Speech, Language and Hearing Service Providers
Classification Speech-Language Pathologist

Taxonomy 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.
Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013.

Providers in the same taxonomy and city

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
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Competitor

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City ROCKFORD
Zip Code 61108

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Dataset Information

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.

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