Glenda Berthelot, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP0010070 Issued in GA

Practice address

1200 Lake Hearn Dr NE
Suite 250
Atlanta, GA 30319-1415

Phone

(404) 943-1007

Fax

(678) 802-7334

NPI assigned

Jul 24, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1343088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343088000000",
    "number": "1336495605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3558 PIEDMONT RD NE APT 1",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303051563",
            "telephone_number": "404-421-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 LAKE HEARN DR NE",
            "address_2": "SUITE 250",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303191415",
            "telephone_number": "404-943-1007",
            "fax_number": "678-802-7334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTHELOT",
        "first_name": "GLENDA",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-24",
        "last_updated": "2012-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP0010070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "027299208",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas D. Berry, M.D.,D.D.S
• Elise S Berryhill, LPC
• Tyhlaya Berryhill
• Chelsea June Berryman
• Jennifer A Bertasi, LCSW
• Lauren Bertman, FNP
• Dominique Marie Bertolini
• Nhu V Bertolli, PA-C
• Mary Bertossi, MS,RN,CPNP
• Kurtis Bertram, DPM

• Speech-Language Pathologist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2012; 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.