Shout Eat Play

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

SHOUT EAT PLAY

Practice address

9698 Patriot Blvd Apt 524
Ladson, SC 29456-8514

Phone

(803) 566-6746

NPI assigned

Oct 28, 2021

Organization subpart

No

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

Authorized official

Name

Raven Dupree

Title

Speech Therapist

Phone

(803) 566-6746

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1635379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635379200000",
    "number": "1275297988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 OLD TROLLEY ROAD SUITE 6 #227",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "29485",
            "telephone_number": "803-566-6746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9698 PATRIOT BLVD APT 524",
            "city": "LADSON",
            "state": "SC",
            "postal_code": "294568514",
            "telephone_number": "803-566-6746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOUT EAT PLAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-28",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-26",
        "status": "A",
        "authorized_official_last_name": "DUPREE",
        "authorized_official_first_name": "RAVEN",
        "authorized_official_title_or_position": "SPEECH THERAPIST",
        "authorized_official_telephone_number": "803-566-6746"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Seymour, PT
• Alexandra Shade
• Kelli E Shapiro, MS
• Alexandra Shaw
• Mia Shillingsford, OTR/L
• Loren Simms
• Simply Strong Physical Therapy LLC
• Carolyn Simpson
• Mary Skelton
• Marissa Slate, PT, DPT

• Speech-Language Pathologist in Ladson, SC
• Providers in Ladson, SC by specialty
• Speech-Language Pathologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; 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.