Practice of Speech Patholgy, Inc,

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

PRACTICE OF SPEECH PATHOLGY, INC,

Practice address

14444 M 32 W
Lachine, MI 49753-9408

Phone

(989) 354-8967

NPI assigned

Nov 23, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Elwood G Anderson, ED.D

Title

President

Phone

(989) 354-8967

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1258934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258934400000",
    "number": "1326376740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "552 ROBBIN AVE",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497071516",
            "telephone_number": "989-354-8967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14444 M 32 W",
            "city": "LACHINE",
            "state": "MI",
            "postal_code": "497539408",
            "telephone_number": "989-354-8967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRACTICE OF SPEECH PATHOLGY, INC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-23",
        "last_updated": "2009-11-23",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "ELWOOD",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-354-8967",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ariel Beevers
• Kathryn Ann Hoppe, DDS
• Andrea Shull, NP CNM
• Alexandria Villarreal
• Latoya Shaketa Williams

• Speech-Language Pathologist in Lachine, MI
• Providers in Lachine, MI by specialty
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2009; 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.