Organization Active NPI

Speech Therapy Online

  • Speech-Language Pathologist
  • Kennesaw, GA
National Provider Identifier
1134858681
Registry record updated Jun 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
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

Updated by the provider on Jun 9, 2022

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

Authorized official

Name
Ms. Haniyfa NoelNPI 1114105350
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)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Practitioners & affiliated clinicians

Practitioners 1

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

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.

Verify at the official NPI Registry.