Gubgab, Inc

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

GUBGAB, INC

Doing business as

Speech Therapy & Learning Interventions

Practice address

14719 Englewood Ave
Allen Park, MI 48101-1622

Phone

(313) 505-2723

NPI assigned

Jun 19, 2006

Last updated

May 6, 2013By 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

Mrs. Beverly Edwards, MA, CCC-SLPNPI 1457797391

Title

President

Phone

(313) 505-2723

Specialties & licenses 1

Addresses

Other names 1

• Speech Therapy & Learning Interventions Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Beverly Edwards, MA, CCC-SLP

  • Speech-Language Pathologist
  • Wayne, MI
  • NPI 1457797391
  NPD (past) Authorized official

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367798400000",
    "number": "1164467403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14719 ENGLEWOOD AVE",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481011622",
            "telephone_number": "313-505-2723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14719 ENGLEWOOD AVE",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481011622",
            "telephone_number": "313-505-2723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUBGAB, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2013-05-06",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-505-2723",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Speech Therapy & Learning Interventions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Speech-Language Pathologist in Allen Park, MI
• Providers in Allen Park, MI by specialty
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2013; 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.