Organization Active NPI

Speech Pathology Services

  • Speech-Language Pathologist
  • College Station, TX
National Provider Identifier
1023452471
Registry record updated Apr 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
104813 Issued in TX
Legal business name
SPEECH PATHOLOGY SERVICES
Practice address
547 William D Fitch Pkwy
102
College Station, TX 77845-6161
Phone
(979) 484-7450
Fax
(800) 878-5664
NPI assigned
Apr 28, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2013

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

Authorized official

Name
Ms. Sally Dayne McKee, M.A. CCC-SLP
Title
Owner
Phone
(979) 484-7450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 104813 TX Primary

Addresses

Primary practice location

547 William D Fitch Pkwy
102
College Station, TX 77845-6161

Mailing address

547 William D Fitch Pkwy
102
College Station, TX 77845-6161
Phone (979) 484-7450

National Provider Directory

National Provider Directory

Locations

547 William D Fitch Pkwy
Ste 102
College Station, TX 77845
Phone (979) 484-7450

3613 Williams Dr
Ste 1004
Georgetown, TX 78628
Phone (512) 240-4534

NPI Registry JSON

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

{
    "created_epoch": "1367107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367107200000",
    "number": "1023452471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "547 WILLIAM D FITCH PKWY",
            "address_2": "102",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778456161",
            "telephone_number": "979-484-7450",
            "fax_number": "800-878-5664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "547 WILLIAM D FITCH PKWY",
            "address_2": "102",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778456161",
            "telephone_number": "979-484-7450",
            "fax_number": "800-878-5664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH PATHOLOGY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-28",
        "last_updated": "2013-04-28",
        "status": "A",
        "authorized_official_last_name": "MCKEE",
        "authorized_official_first_name": "SALLY",
        "authorized_official_middle_name": "DAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "979-484-7450",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.A. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "104813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Station, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.