Prolific Speech Therapy LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

PROLIFIC SPEECH THERAPY LLC

Practice address

551 Albany St
Ferndale, MI 48220-3333

Phone

(248) 310-0807

NPI assigned

Apr 7, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Jackson Julien Lanway, SLPDNPI 1669942058

Title

Business Owner and Practitioner

Phone

(248) 310-0807

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jackson Lanway

  • Speech-Language Pathologist
  • Mount Clemens, MI
  • NPI 1669942058
  NPD Authorized official

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

{
    "created_epoch": "1743984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743984000000",
    "number": "1013701879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 ALBANY ST",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482203333",
            "telephone_number": "248-310-0807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 ALBANY ST",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482203333",
            "telephone_number": "248-310-0807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROLIFIC SPEECH THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-07",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A",
        "authorized_official_last_name": "LANWAY",
        "authorized_official_first_name": "JACKSON",
        "authorized_official_middle_name": "JULIEN",
        "authorized_official_title_or_position": "BUSINESS OWNER AND PRACTITIONER",
        "authorized_official_telephone_number": "248-310-0807",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "SLPD"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Ferndale, MI
• Providers in Ferndale, 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 Apr 7, 2025; 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.