Premier Speech and Language Therapy, PC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

017004 Issued in NY

Legal business name

PREMIER SPEECH AND LANGUAGE THERAPY, PC

Practice address

216 Bay 14TH St
Brooklyn, NY 11214-5823

Phone

(718) 232-1436

NPI assigned

Jul 15, 2011

Organization subpart

No

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

Authorized official

Name

Miss Lisette Laudadio, M.S. CCC-SLPNPI 1679711964

Title

Owner

Phone

(718) 232-1436

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.

• Lisette Marie Laudadio, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Brooklyn, NY
  • NPI 1679711964
  NPD (past) Authorized official

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

{
    "created_epoch": "1310688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310688000000",
    "number": "1114215860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 BAY 14TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112145823",
            "telephone_number": "718-232-1436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 BAY 14TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112145823",
            "telephone_number": "718-232-1436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER SPEECH AND LANGUAGE THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-15",
        "last_updated": "2011-07-15",
        "status": "A",
        "authorized_official_last_name": "LAUDADIO",
        "authorized_official_first_name": "LISETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-232-1436",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "M.S. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "017004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2011; 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.