Ponte Vedra Speech Language and Learning LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

PONTE VEDRA SPEECH LANGUAGE AND LEARNING LLC

Practice address

171 Summer Mesa Ave
Ponte Vedra, FL 32081-6143

Phone

(904) 404-2345

NPI assigned

Jun 19, 2023

Organization subpart

No

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

Authorized official

Name

Sonya Marie Olsen, CCC-SLPNPI 1295291177

Title

Speech-Language Pathologist

Phone

(904) 844-3136

Specialties & licenses 1

Addresses

Practitioners 1

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

• Sonya Marie Olsen, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Ponte Vedra, FL
  • NPI 1295291177
  NPD Authorized official

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

{
    "created_epoch": "1687132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688860800000",
    "number": "1104501170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 SUMMER MESA AVE",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320816143",
            "telephone_number": "904-404-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 SUMMER MESA AVE",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320816143",
            "telephone_number": "904-404-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PONTE VEDRA SPEECH LANGUAGE AND LEARNING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-19",
        "last_updated": "2023-07-09",
        "certification_date": "2023-07-09",
        "status": "A",
        "authorized_official_last_name": "OLSEN",
        "authorized_official_first_name": "SONYA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "904-844-3136",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ponte Vedra Behavioral Health LLC
• Ponte Vedra Complete Dentistry, PA
• Ponte Vedra Dental Group
• Ponte Vedra Hearing Associates, LLC
• Ponte Vedra Pediatric Dentistry and Orthodontics
• Ponte Vedra Speech Language and Learning LLC
• Ponte Vedra Speech Therapy LLC
• Cody Randall Pontius, MED, ATC, LAT
• Prevail Therapy Services, LLC
• Prevail Therapy Services, LLC

• Speech-Language Pathologist in Ponte Vedra, FL
• Providers in Ponte Vedra, 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 Jul 9, 2023; 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.