123Grow

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP-0802 Issued in WV

Legal business name

123GROW

Practice address

624 South Ter
Huntington, WV 25705-1511

Phone

(304) 412-4246

NPI assigned

Jan 11, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Susan Pay, MA, CCC/SLP

Title

Speech Pathologist

Phone

(304) 412-4246

Specialties & licenses 1

Addresses

Tax ID family

1-2-3 Grow LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• 1-2-3 Grow LLC

  • Early Intervention Provider Agency
  • Huntington, WV
  • NPI 1295991883
  NPD tax ID

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1043580715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 SOUTH TER",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257051511",
            "telephone_number": "304-412-4246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 SOUTH TER",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257051511",
            "telephone_number": "304-412-4246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "123GROW",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-11",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "PAY",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "304-412-4246",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, CCC/SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "WV",
            "license": "SLP-0802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 1-2-3 Grow LLC
• 101 13TH Street Operations LLC
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• A New Leaf Family Chiropractic and Acupuncture

• Speech-Language Pathologist in Huntington, WV
• Providers in Huntington, WV by specialty
• Speech-Language Pathologist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.