Professional Speech & Language Therapy, Inc

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

Legal business name

PROFESSIONAL SPEECH & LANGUAGE THERAPY, INC

Practice address

210 Walker St SW Unit 5
Atlanta, GA 30313-1213

Phone

(678) 608-9601

Fax

(404) 748-4482

NPI assigned

Mar 21, 2010

Organization subpart

No

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

Authorized official

Name

Miss Javonya Donell Clemons, M.S. CCC-SLPNPI 1730155144

Title

Speech-Language Pathologist

Phone

(678) 608-9601

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.

• Javonya Donell Clemons, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Atlanta, GA
  • NPI 1730155144
  NPD (past) Authorized official

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

{
    "created_epoch": "1269129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269129600000",
    "number": "1124342019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 WALKER ST SW UNIT 5",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303131213",
            "telephone_number": "678-608-9601",
            "fax_number": "404-748-4482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 WALKER ST SW UNIT 5",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303131213",
            "telephone_number": "678-608-9601",
            "fax_number": "404-748-4482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL SPEECH & LANGUAGE THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-21",
        "last_updated": "2010-03-21",
        "status": "A",
        "authorized_official_last_name": "CLEMONS",
        "authorized_official_first_name": "JAVONYA",
        "authorized_official_middle_name": "DONELL",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "678-608-9601",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "M.S. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hearing and Speech Clinic/Center in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Hearing and Speech Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2010; 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.