Upstate Speech and Language Services, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

5382 Issued in SC

Legal business name

UPSTATE SPEECH AND LANGUAGE SERVICES, LLC

Practice address

952 Breezewood CT
Greer, SC 29651-6908

Phone

(864) 633-5647

Fax

(864) 633-5643

NPI assigned

Jul 21, 2014

Organization subpart

No

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

Authorized official

Name

Merri Allison Mugan, MCD, CCC-SLPNPI 1679903785

Title

Speech Pathologist/Owner

Phone

(864) 633-5647

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Merri Allison Mugan, MCD, CCC-SLP

  • Speech-Language Pathologist
  • Greer, SC
  • NPI 1679903785
  NPD (past) Authorized official

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

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405900800000",
    "number": "1164839296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "952 BREEZEWOOD CT",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296516908",
            "telephone_number": "864-633-5647",
            "fax_number": "864-633-5643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "952 BREEZEWOOD CT",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296516908",
            "telephone_number": "864-633-5647",
            "fax_number": "864-633-5643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPSTATE SPEECH AND LANGUAGE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-21",
        "last_updated": "2014-07-21",
        "status": "A",
        "authorized_official_last_name": "MUGAN",
        "authorized_official_first_name": "MERRI",
        "authorized_official_middle_name": "ALLISON",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST/OWNER",
        "authorized_official_telephone_number": "864-633-5647",
        "authorized_official_credential": "MCD, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "5382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SA1425",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Greer, SC
• Providers in Greer, SC by specialty
• Speech-Language Pathologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2014; 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.