Organization Active NPI

Wee Speak

  • Speech-Language Pathologist
  • Redlands, CA
National Provider Identifier
1033465661
Registry record updated Aug 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP8835 Issued in CA
Legal business name
WEE SPEAK
Practice address
1255 W Colton Ave Ste 538
Redlands, CA 92374-2861
Phone
(909) 747-5787
NPI assigned
Aug 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2012

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

Authorized official

Name
Stacey Johlman
Title
Owner/Speech-Language Pathologist
Phone
(909) 747-5787

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X SP8835 CA Primary

Addresses

Primary practice location

1255 W Colton Ave Ste 538
Redlands, CA 92374-2861

Mailing address

1255 W Colton Ave Ste 538
Redlands, CA 92374-2861

National Provider Directory

National Provider Directory

Locations

1255 W Colton Ave
Ste 538
Redlands, CA 92374
Phone (909) 747-5787

NPI Registry JSON

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

{
    "created_epoch": "1343779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343779200000",
    "number": "1033465661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 W COLTON AVE STE 538",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923742861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 W COLTON AVE STE 538",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923742861",
            "telephone_number": "909-747-5787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEE SPEAK",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-01",
        "last_updated": "2012-08-01",
        "status": "A",
        "authorized_official_last_name": "JOHLMAN",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "OWNER/SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "909-747-5787"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP8835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2012; 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.