Southwest Missouri Pediatric Speech Therapy LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2002025840 Issued in MO

Legal business name

SOUTHWEST MISSOURI PEDIATRIC SPEECH THERAPY LLC

Practice address

2275 S Oakbrook Ave
Springfield, MO 65809-2992

Phone

(866) 880-6798

Fax

(417) 890-9127

NPI assigned

Apr 30, 2014

Organization subpart

No

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

Authorized official

Name

Catherine Fowler Newhouse, SLP

Title

President

Phone

(866) 880-6798

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1398816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398816000000",
    "number": "1104236025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2275 S OAKBROOK AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658092992",
            "telephone_number": "866-880-6798",
            "fax_number": "417-890-9127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2275 S OAKBROOK AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658092992",
            "telephone_number": "866-880-6798",
            "fax_number": "417-890-9127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST MISSOURI PEDIATRIC SPEECH THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-30",
        "last_updated": "2014-04-30",
        "status": "A",
        "authorized_official_last_name": "NEWHOUSE",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "FOWLER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "866-880-6798",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2002025840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southwest Childrens LLC
• Southwest Missouri Homecare, LLC
• Southwest Missouri Homecare, LLC
• Southwest Missouri Homecare, LLC
• Southwest Missouri Infectious Disease LLC
• Southwestern Womens Health LLC
• Joshua Keith Soward I, M.A.
• Richard A Sowell, MA, LPC
• Diana J Spade, MD
• Jacob Lee Spain, MD

• Speech-Language Pathologist in Springfield, MO
• Providers in Springfield, MO by specialty
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.