Organization Active NPI

Shoreline Speech & Language Center

  • Speech-Language Pathologist
  • Gales Ferry, CT
National Provider Identifier
1194905208
Registry record updated Nov 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
003406 Issued in CT
Legal business name
SHORELINE SPEECH & LANGUAGE CENTER
Practice address
7 Kerrie CT
Gales Ferry, CT 06335-1115
Phone
(832) 545-3384
NPI assigned
Nov 6, 2007
Last updated
Nov 6, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2007

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

Authorized official

Name
Laurel K Vincent, M.A., CCC-CLPNPI 1518256411
Title
Speech/Language Pathologist
Phone
(832) 545-3384

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 003406 CT Primary

Addresses

Primary practice location

7 Kerrie CT
Gales Ferry, CT 06335-1115

Mailing address

7 Kerrie CT
Gales Ferry, CT 06335-1115
Phone (832) 545-3384

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1194905208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 KERRIE CT",
            "city": "GALES FERRY",
            "state": "CT",
            "postal_code": "063351115",
            "telephone_number": "832-545-3384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 KERRIE CT",
            "city": "GALES FERRY",
            "state": "CT",
            "postal_code": "063351115",
            "telephone_number": "832-545-3384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORELINE SPEECH & LANGUAGE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-06",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "VINCENT",
        "authorized_official_first_name": "LAUREL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "SPEECH/LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "832-545-3384",
        "authorized_official_credential": "M.A., CCC-CLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CT",
            "license": "003406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gales Ferry, CT

Sources for this page

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