NPIMap

Organization Active NPI

Balderson Speech Services, LLC

  • Speech-Language Pathologist
  • Mount Pleasant, SC
National Provider Identifier
1104068774
Registry record updated Mar 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3352 Issued in SC
Legal business name
BALDERSON SPEECH SERVICES, LLC
Practice address
1906 N Creek Dr
Mount Pleasant, SC 29466-8749
Phone
(843) 224-7869
NPI assigned
Mar 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2009

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

Authorized official

Name
Mrs. Aaron G. Balderson, CCC/SLPNPI 1922191071
Title
Speech Pathologist
Phone
(843) 224-7869

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 3352 SC Primary

Addresses

Primary practice location

1906 N Creek Dr
Mount Pleasant, SC 29466-8749

Mailing address

1906 N Creek Dr
Mount Pleasant, SC 29466-8749
Phone (843) 224-7869

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1238284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238284800000",
    "number": "1104068774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1906 N CREEK DR",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294668749",
            "telephone_number": "843-224-7869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 N CREEK DR",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294668749",
            "telephone_number": "843-224-7869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALDERSON SPEECH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-29",
        "last_updated": "2009-03-29",
        "status": "A",
        "authorized_official_last_name": "BALDERSON",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "843-224-7869",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CCC/SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "3352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2009; 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.