Provider Demographics
NPI:1316015639
Name:MY FIRST WORDS, INC.
Entity Type:Organization
Organization Name:MY FIRST WORDS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:A
Authorized Official - Last Name:FORSGREN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-243-9808
Mailing Address - Street 1:1329 BOILVIN AVE
Mailing Address - Street 2:
Mailing Address - City:ROCKFORD
Mailing Address - State:IL
Mailing Address - Zip Code:61103-6210
Mailing Address - Country:US
Mailing Address - Phone:815-243-9808
Mailing Address - Fax:815-967-7567
Practice Address - Street 1:1329 BOILVIN AVE
Practice Address - Street 2:
Practice Address - City:ROCKFORD
Practice Address - State:IL
Practice Address - Zip Code:61103-6210
Practice Address - Country:US
Practice Address - Phone:815-243-9808
Practice Address - Fax:815-967-7567
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty