Lake Jackson Pediatric Speech PLLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

LAKE JACKSON PEDIATRIC SPEECH PLLC

Practice address

102 Rosemary LN
Lake Jackson, TX 77566-4566

Phone

(979) 235-8310

NPI assigned

Jul 24, 2023

Organization subpart

No

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

Authorized official

Name

Brooke Sterzinger, MS, CCC, SLPNPI 1689026528

Title

Owner

Phone

(979) 236-8310

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brooke Sterzinger, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Sugar Land, TX
  • NPI 1689026528
  NPD (past) Authorized official

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690156800000",
    "number": "1245910330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 ROSEMARY LN",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775664566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 ROSEMARY LN",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775664566",
            "telephone_number": "979-235-8310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE JACKSON PEDIATRIC SPEECH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-23",
        "status": "A",
        "authorized_official_last_name": "STERZINGER",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "979-236-8310",
        "authorized_official_credential": "MS, CCC, SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Lake Jackson, TX
• Providers in Lake Jackson, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.