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The Indigo Child Therapeutic LLC

Speech-Language Pathologist in Clinton, MD · enumerated 2020 · authorized official Tiffany Dicks, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1912514910

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name The Indigo Child Therapeutic LLC
Other name <Unavail>
Practice address 7491 Old Alexandria Ferry Rd, Clinton, MD, 20772
Fax (240) 269-7799
Enumeration date Sep 24, 2020
Last updated in NPPES Oct 23, 2024

Taxonomy & classification

103K00000X Behavior Analyst Behavioral Health & Social Service Providers Secondary
224Z00000X Occupational Therapy Assistant Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary
225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary
225X00000X Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary
2355S0801X Speech-Language Assistant Speech, Language and Hearing Service Providers Secondary
235Z00000X Speech-Language Pathologist Speech, Language and Hearing Service Providers Primary

Authorized official

Name Tiffany Dicks
Title Owner

Other identifiers

Identifier Type State Issuer
444331400 Medicaid MD -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is The Indigo Child Therapeutic LLC?
The Indigo Child Therapeutic LLC is registered in NPPES as a Speech-Language Pathologist (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-10-23.