Play by the Bay Therapy

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

PLAY BY THE BAY THERAPY

Practice address

3808 Surry Rd
Virginia Beach, VA 23455-1624

Phone

(410) 713-0176

Fax

(757) 578-8656

NPI assigned

Sep 23, 2022

Organization subpart

No

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

Authorized official

Name

Lauren Hayes Clark, M.S. CCC-SLPNPI 1043372758

Title

Owner/Speech Pathologist

Phone

(410) 713-0176

Specialties & licenses 1

Addresses

Practitioners 1

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

• Lauren Clark, SLP

  • Speech-Language Pathologist
  • Virginia Beach, VA
  • NPI 1043372758
  NPD Authorized official

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

{
    "created_epoch": "1663891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663891200000",
    "number": "1063135044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3808 SURRY RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234551624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3808 SURRY RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234551624",
            "telephone_number": "410-713-0176",
            "fax_number": "757-578-8656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAY BY THE BAY THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-23",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "HAYES",
        "authorized_official_title_or_position": "OWNER/SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "410-713-0176",
        "authorized_official_credential": "M.S. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Virginia Beach, VA
• Providers in Virginia Beach, 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 Sep 23, 2022; 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.