Myo Speech Therapy, PLLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4952 Issued in NC

Legal business name

MYO SPEECH THERAPY, PLLC

Practice address

325 Matthews Mint Hill Rd Ste 325-101
Matthews, NC 28105-2816

Phone

(704) 727-8680

NPI assigned

Dec 7, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Martha Addison Weaver, MA, CCC-SLP

Title

Speech-Language Pathologist

Phone

(704) 727-8680

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1512604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525392000000",
    "number": "1215442686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2509 WINTERBROOKE DR",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281058860",
            "telephone_number": "704-562-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 MATTHEWS MINT HILL RD STE 325-101",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281052816",
            "telephone_number": "704-727-8680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYO SPEECH THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-07",
        "last_updated": "2018-05-04",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "ADDISON",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "704-727-8680",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "4952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Matthews, NC
• Providers in Matthews, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2018; 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.