Shoreline Speech Therapy

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

SHORELINE SPEECH THERAPY

Practice address

15 Orchard Park Rd
Suite 22
Madison, CT 06443-2268

Phone

(203) 350-9311

NPI assigned

Sep 23, 2016

Last updated

Sep 23, 2016By 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

Laurey Sandler, M.A.,CCC-SLP

Title

Director

Phone

(203) 350-9311

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1474588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474588800000",
    "number": "1144779711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 DEER CREEK RD",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064432151",
            "telephone_number": "203-350-9311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 ORCHARD PARK RD",
            "address_2": "SUITE 22",
            "city": "MADISON",
            "state": "CT",
            "postal_code": "064432268",
            "telephone_number": "203-350-9311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORELINE SPEECH THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-23",
        "last_updated": "2016-09-23",
        "status": "A",
        "authorized_official_last_name": "SANDLER",
        "authorized_official_first_name": "LAUREY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "203-350-9311",
        "authorized_official_credential": "M.A.,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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• Speech-Language Pathologist in Madison, CT
• Providers in Madison, CT by specialty
• Speech-Language Pathologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2016; 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.