Speech Therapy on the Go LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7101005581 Issued in MI

Legal business name

SPEECH THERAPY ON THE GO LLC

Practice address

4482 Ford Ave
Linden, MI 48451-9189

Phone

(954) 540-4808

Fax

(888) 232-1831

NPI assigned

Mar 14, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Amanda Rae Foutch, CCC-SLP

Title

Owner

Phone

(954) 540-4808

Specialties & licenses 1

Addresses

Other names 1

• Amanda Foutch Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520985600000",
    "number": "1003319294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4482 FORD AVE",
            "city": "LINDEN",
            "state": "MI",
            "postal_code": "484519189",
            "telephone_number": "954-540-4808",
            "fax_number": "888-232-1831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4482 FORD AVE",
            "city": "LINDEN",
            "state": "MI",
            "postal_code": "484519189",
            "telephone_number": "954-540-4808",
            "fax_number": "888-232-1831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH THERAPY ON THE GO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-14",
        "last_updated": "2018-03-14",
        "status": "A",
        "authorized_official_last_name": "FOUTCH",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-540-4808",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101005581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amanda Foutch",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tijaun Dianna Settle-Rakay, LLPC
• Scott Aaron Sherry, PT
• Silver Pines LLC
• Stephanie Smith
• Matthew Sokoloski
• Tessa Lauren Strickland, RD
• Cryston E Swink, FNP-BC
• Jennifer Syjud
• Susan Elizabeth Taphouse, OTRL
• Therapy for You Counseling Services

• Speech-Language Pathologist in Linden, MI
• Providers in Linden, MI by specialty
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.