NPIMap

Organization Active NPI

Southern Speech, LLC

  • Hearing and Speech Clinic/Center
  • Lafayette, LA
National Provider Identifier
1164957874
Registry record updated May 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
Legal business name
SOUTHERN SPEECH, LLC
Practice address
239 Thibodeaux Dr
Lafayette, LA 70503-4441
Phone
(337) 298-3176
NPI assigned
May 1, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2017

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

Authorized official

Name
Courtney Prince Back, MCD, SLP-CCC
Title
Speech Language Pathologist
Phone
(337) 298-3176

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X Primary

Addresses

Primary practice location

239 Thibodeaux Dr
Lafayette, LA 70503-4441

Mailing address

239 Thibodeaux Dr
Lafayette, LA 70503-4441

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1493596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493596800000",
    "number": "1164957874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 THIBODEAUX DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705034441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 THIBODEAUX DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705034441",
            "telephone_number": "337-298-3176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN SPEECH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-01",
        "last_updated": "2017-05-01",
        "status": "A",
        "authorized_official_last_name": "BACK",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "PRINCE",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "337-298-3176",
        "authorized_official_credential": "MCD, SLP-CCC"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2017; 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.