Mobile Speech for Children LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7101000353 Issued in MI

Legal business name

MOBILE SPEECH FOR CHILDREN LLC

Practice address

853 Westchester Rd
Grosse Pointe Park, MI 48230-1827

Phone

(313) 919-8004

NPI assigned

Mar 5, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Debra Sutherland, CCC-SLP

Title

Speech-Language Pathologist

Phone

(313) 919-8004

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1362441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362441600000",
    "number": "1073854881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "853 WESTCHESTER RD",
            "city": "GROSSE POINTE PARK",
            "state": "MI",
            "postal_code": "482301827",
            "telephone_number": "313-919-8004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "853 WESTCHESTER RD",
            "city": "GROSSE POINTE PARK",
            "state": "MI",
            "postal_code": "482301827",
            "telephone_number": "313-919-8004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE SPEECH FOR CHILDREN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-05",
        "last_updated": "2013-03-05",
        "status": "A",
        "authorized_official_last_name": "SUTHERLAND",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "313-919-8004",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101000353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Grosse Pointe Park, MI
• Providers in Grosse Pointe Park, MI by specialty
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.