Active NPI
Speech Therapy Online
- Speech-Language Pathologist
- Kennesaw, GA
National Provider Identifier
1134858681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- SPEECH THERAPY ONLINE
- Practice address
- 3111 Antrim CT NW
Kennesaw, GA 30152-5840 - Phone
- (917) 626-0185
- NPI assigned
- Jun 9, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Haniyfa Noel
- Title
- Head Speech Pathologist
- Phone
- (917) 626-0185
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
3111 Antrim CT NW
Kennesaw, GA 30152-5840
Mailing address
3111 Antrim CT NW
Kennesaw, GA 30152-5840
Phone (917) 626-0185
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Kennesaw, GA
- NPI 1114105350
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654732800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1654732800000",
"number": "1134858681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3111 ANTRIM CT NW",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301525840",
"telephone_number": "917-626-0185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3111 ANTRIM CT NW",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301525840",
"telephone_number": "917-626-0185"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPEECH THERAPY ONLINE",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-09",
"last_updated": "2022-06-09",
"certification_date": "2022-06-09",
"status": "A",
"authorized_official_last_name": "NOEL",
"authorized_official_first_name": "HANIYFA",
"authorized_official_title_or_position": "HEAD SPEECH PATHOLOGIST",
"authorized_official_telephone_number": "917-626-0185",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kennesaw, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.