Chesterfield Speech-Language Services, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202002757 Issued in VA

Legal business name

CHESTERFIELD SPEECH-LANGUAGE SERVICES, LLC

Practice address

9311 Southport Dr
North Chesterfield, VA 23235-4933

Phone

(804) 677-6966

NPI assigned

Jun 16, 2015

Organization subpart

No

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

Authorized official

Name

Susan Stough, M.ED., CCC-SLPNPI 1871988196

Title

Co-Owner

Phone

(804) 677-6966

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

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

• Susan Stough

  • Speech-Language Pathologist
  • North Chesterfield, VA
  • NPI 1871988196
  NPD (past) Authorized official
• Monica Tremaglio

  • Speech-Language Pathologist
  • Moseley, VA
  • NPI 1659766079
  NPD (past)

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

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434412800000",
    "number": "1033590963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36307",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232358006",
            "telephone_number": "804-677-6966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9311 SOUTHPORT DR",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232354933",
            "telephone_number": "804-677-6966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESTERFIELD SPEECH-LANGUAGE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-16",
        "last_updated": "2015-06-16",
        "status": "A",
        "authorized_official_last_name": "STOUGH",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "804-677-6966",
        "authorized_official_credential": "M.ED., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202002757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA BOARD OF AUDIOLOGY AND SPEECH-LANGUAGE PATHOLOGY",
            "identifier": "2202002757",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in North Chesterfield, VA
• Providers in North Chesterfield, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; 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.