Speech and Language Pathology Services, PLLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2338 Issued in OK

Legal business name

SPEECH AND LANGUAGE PATHOLOGY SERVICES, PLLC

Practice address

2801 S Bryant Ave
Edmond, OK 73013-6137

Phone

(405) 550-5959

NPI assigned

Apr 23, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Linda Kupchak Cameron

Title

Owner

Phone

(405) 550-5959

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225256472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 145",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730830145",
            "telephone_number": "405-550-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 S BRYANT AVE",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730136137",
            "telephone_number": "405-550-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH AND LANGUAGE PATHOLOGY SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CAMERON",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "KUPCHAK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-550-5959",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "2338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Edmond, OK
• Providers in Edmond, OK by specialty
• Speech-Language Pathologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.