GC Therapy Options

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA 4901 Issued in FL

Legal business name

GC THERAPY OPTIONS

Practice address

405 11TH St SW
Live Oak, FL 32064-3161

Phone

(386) 365-7889

NPI assigned

Sep 19, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Cynthis Marie Stephens, MA CCC-SLP

Title

Member

Phone

(386) 365-7889

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1379548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379548800000",
    "number": "1104252303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 OHIO AVE S UNIT 177",
            "city": "LIVE OAK",
            "state": "FL",
            "postal_code": "320647707",
            "telephone_number": "386-365-7889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 11TH ST SW",
            "city": "LIVE OAK",
            "state": "FL",
            "postal_code": "320643161",
            "telephone_number": "386-365-7889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GC THERAPY OPTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-19",
        "last_updated": "2013-09-19",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "CYNTHIS",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "386-365-7889",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 7684",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 4901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Live Oak, FL
• Providers in Live Oak, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.