Speech Language Intervention Strategies Speechlis

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

License

2202005417 Issued in VA

Legal business name

SPEECH LANGUAGE INTERVENTION STRATEGIES SPEECHLIS

Doing business as

Speechlis, LLC

Practice address

161 John Jefferson Rd # a
Suite 1
Williamsburg, VA 23185-5640

Phone

(757) 603-6303

NPI assigned

Dec 8, 2010

Last updated

Feb 8, 2011By 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

Ms. Marisa Collins, M.A., CCC-SLP

Title

President

Phone

(757) 603-6303

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Speechlis, LLC Doing business as

Locations

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

{
    "created_epoch": "1291766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297123200000",
    "number": "1184927485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 JOHN JEFFERSON RD # A",
            "address_2": "SUITE 1",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231855640",
            "telephone_number": "757-603-6303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 JOHN JEFFERSON RD # A",
            "address_2": "SUITE 1",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231855640",
            "telephone_number": "757-603-6303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH LANGUAGE INTERVENTION STRATEGIES SPEECHLIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-08",
        "last_updated": "2011-02-08",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "MARISA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-603-6303",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.A., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "VA",
            "license": "2202005417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861627366",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Speechlis, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katelyn Southwell, CMT
• SP Williamsburg Health Investors
• SP Williamsburg, LLC (Tandem Health Care at Williamsburg)
• Kelly Oliver Spann, NP
• Specialed Navigator PLLC (SpecialEd Navigator)
• Speechluxe, LLC
• John Hobart Speegle, DDS
• Britney J Spells
• Teresa Spencer
• Jessica Marye Spicer

• Hearing and Speech Clinic/Center in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Hearing and Speech Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2011; 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.