Individual provider Active NPI

Teresa Marie Garlick, MS CCC-SLP

  • Speech-Language Pathologist
  • Glendale, AZ
National Provider Identifier
1184846461
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP0428 Issued in AZ
Practice address
6510 W Redfield Rd
Glendale, AZ 85306-3754
Phone
(623) 776-9945
NPI assigned
May 3, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP0428 AZ Primary

Addresses

Primary practice location

6510 W Redfield Rd
Glendale, AZ 85306-3754

Mailing address

6510 W Redfield Rd
Glendale, AZ 85306-3754
Phone (623) 776-9945

Other identifiers 2

IdentifierTypeStateIssuer
09122202OtherAZASHA MEMBER NUMBER
SLP0428OtherAZAZ STATE LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SLP0428AZMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184846461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6510 W REDFIELD RD",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853063754",
            "telephone_number": "623-776-9945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6510 W REDFIELD RD",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853063754",
            "telephone_number": "623-776-9945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARLICK",
        "first_name": "TERESA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP0428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA MEMBER NUMBER",
            "identifier": "09122202",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ STATE LICENSE NUMBER",
            "identifier": "SLP0428",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.