Organization Active NPI

Magnolia Speech and Language, LLC

  • Speech-Language Pathologist
  • Summerville, SC
National Provider Identifier
1326975475
Registry record updated May 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
MAGNOLIA SPEECH AND LANGUAGE, LLC
Practice address
208 Grand Palm LN
Summerville, SC 29485-5859
Phone
(843) 695-9886
Fax
(843) 790-2303
NPI assigned
May 5, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2026

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

Authorized official

Name
Elizabeth Ezzo, MSNPI 1881124386
Title
SLP
Phone
(772) 485-1742

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

208 Grand Palm LN
Summerville, SC 29485-5859

Mailing address

208 Grand Palm LN
Summerville, SC 29485-5859
Phone (843) 695-9886

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1777939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780099200000",
    "number": "1326975475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 GRAND PALM LN",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294855859",
            "telephone_number": "843-695-9886",
            "fax_number": "843-790-2303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 GRAND PALM LN",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294855859",
            "telephone_number": "843-695-9886",
            "fax_number": "843-790-2303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA SPEECH AND LANGUAGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-05",
        "last_updated": "2026-05-30",
        "certification_date": "2026-05-30",
        "status": "A",
        "authorized_official_last_name": "EZZO",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "SLP",
        "authorized_official_telephone_number": "772-485-1742",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summerville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2026; 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.