Spencer Therapy Group, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

S3144 Issued in MS

Legal business name

SPENCER THERAPY GROUP, LLC

Practice address

303 Fawnwood Dr
Brandon, MS 39042-4005

Phone

(601) 832-9684

Fax

(601) 824-0182

NPI assigned

Aug 11, 2014

Last updated

Aug 11, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Gayle Reed Spencer, MS, CCC-SLP

Title

Speech Language Pathologist

Phone

(601) 832-9684

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1407715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407715200000",
    "number": "1093124448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 FAWNWOOD DR",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390424005",
            "telephone_number": "601-832-9684",
            "fax_number": "601-824-0182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 FAWNWOOD DR",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390424005",
            "telephone_number": "601-832-9684",
            "fax_number": "601-824-0182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPENCER THERAPY GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-11",
        "last_updated": "2014-08-11",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "GAYLE",
        "authorized_official_middle_name": "REED",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "601-832-9684",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "S3144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Catherine A. Stephens, DMD

• Speech-Language Pathologist in Brandon, MS
• Providers in Brandon, MS by specialty
• Speech-Language Pathologist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2014; 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.