Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bloomington-Normal Speech Therapy LLC

Organization Speech-Language Pathologist · NPI 1336745892

Bloomington-Normal Speech Therapy LLC is a Speech-Language Pathologist in Bloomington, Illinois. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2416 E Washington St Ste C5
Bloomington, IL 61704-1629
Phone: (309) 830-5925
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X

Record details

NPI number1336745892
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Basha Ontiveros — Owner · (309) 830-5925
NPI enumeratedDecember 9, 2020
Last updated in NPPESDecember 9, 2020
Certification dateDecember 9, 2020
Mailing address2416 E Washington St Ste C5, Bloomington, IL 61704-1629

Other providers in Bloomington