Lisa L. Gentry Speech, Inc.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

LISA L. GENTRY SPEECH, INC.

Practice address

1512 Bruxton CT
Loganville, GA 30052-2965

Phone

(404) 219-4178

NPI assigned

Jun 24, 2026

Last updated

Jun 24, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Lisa Lovern Gentry, M.ED., CCC-SLP

Title

Speech Language Pathologist

Phone

(404) 219-4178

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1782259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782259200000",
    "number": "1144146150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 BRUXTON CT",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300522965",
            "telephone_number": "404-219-4178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 BRUXTON CT",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300522965",
            "telephone_number": "404-219-4178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA L. GENTRY SPEECH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-24",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A",
        "authorized_official_last_name": "GENTRY",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "LOVERN",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "404-219-4178",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.ED., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; 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.