Atlanta Speech Therapy, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP007202 Issued in GA

Legal business name

ATLANTA SPEECH THERAPY, LLC

Practice address

5905 Atlanta Hwy
Suite 101-12
Alpharetta, GA 30004-5768

Phone

(404) 939-1318

NPI assigned

Oct 9, 2013

Organization subpart

No

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

Authorized official

Name

Anesha Frazer, M.S. CCC-SLP

Title

Owner/Speech Language Pathologist

Phone

(404) 939-1318

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1381276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381276800000",
    "number": "1023445947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5905 ATLANTA HWY",
            "address_2": "SUITE 101-12",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300045768",
            "telephone_number": "404-939-1318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5905 ATLANTA HWY",
            "address_2": "SUITE 101-12",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300045768",
            "telephone_number": "404-939-1318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA SPEECH THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-09",
        "last_updated": "2013-10-09",
        "status": "A",
        "authorized_official_last_name": "FRAZER",
        "authorized_official_first_name": "ANESHA",
        "authorized_official_title_or_position": "OWNER/SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "404-939-1318",
        "authorized_official_credential": "M.S. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP007202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Atlanta Innovative Medicine, LLC
• Atlanta Medical Sourcing and Services LLC
• Atlanta Outpatient Ancillary Services, LLC
• Atlanta Senior Care Services, LLC
• Atlanta Skin Cancer Specialists, P.C.
• Atlanta Spinal Correction Center LLC
• Atlanta Women'S Health Group, P.C.
• Atlantamed FP, LLC
• Atlantamed UC LLC
• Peyton Attaway, OTR/L

• Speech-Language Pathologist in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2013; 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.