Eastern Shore Speech Therapy LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

06843 Issued in MD

Legal business name

EASTERN SHORE SPEECH THERAPY LLC

Practice address

175 Ashland Drive
Centreville, MD 21617

Phone

(313) 595-3693

NPI assigned

Sep 13, 2012

Last updated

Aug 6, 2013By 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

Alison McCuenNPI 1497067144

Title

Owner

Phone

(313) 595-3693

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, and the practitioner matching its NPPES authorized official.

• Alison Lynn McCuen

  • Speech-Language Pathologist
  • St. Michael's, MD
  • NPI 1497067144
  NPD (past) Authorized official

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

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375747200000",
    "number": "1265782684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 ASHLAND DRIVE",
            "city": "CENTREVILLE",
            "state": "MD",
            "postal_code": "21617",
            "telephone_number": "313-595-3693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 ASHLAND DRIVE",
            "city": "CENTREVILLE",
            "state": "MD",
            "postal_code": "21617",
            "telephone_number": "313-595-3693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN SHORE SPEECH THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-13",
        "last_updated": "2013-08-06",
        "status": "A",
        "authorized_official_last_name": "MCCUEN",
        "authorized_official_first_name": "ALISON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-595-3693"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "06843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Sterling Draper, RPH
• Casey Dressel
• Mark Edward Driscoll, PARAMEDIC
• Donna Marie Grow Dunlap, LCPC, RPT
• Susan K Eakins, LCSWC
• Elizabeth Ebbets, DO
• Caroline Hofstetter Ecker
• Marianna Edmonston, COTA/L
• Franklin Dolan Edwards, R.PH
• Susan Rhodes Edwards, P.T.

• Speech-Language Pathologist in Centreville, MD
• Providers in Centreville, MD by specialty
• Speech-Language Pathologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2013; 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.