Palmetto Kids Speech Therapy, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

PALMETTO KIDS SPEECH THERAPY, LLC

Practice address

237 Newpark PL
Columbia, SC 29212-8667

Phone

(803) 386-1880

NPI assigned

Jan 13, 2022

Organization subpart

No

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

Authorized official

Name

Jaclyn Fleig, MCD, CCC-SLPNPI 1396118576

Title

Speech Language Pathologist

Phone

(803) 386-1880

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jaclyn Fleig, MCD,CCC-SLP

  • Speech-Language Pathologist
  • Columbia, SC
  • NPI 1396118576
  NPD Authorized official

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

{
    "created_epoch": "1642032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642032000000",
    "number": "1346991171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 SAINT ANDREWS ROAD STE A12",
            "address_2": "#261",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 NEWPARK PL",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292128667",
            "telephone_number": "803-386-1880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMETTO KIDS SPEECH THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-13",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-11",
        "status": "A",
        "authorized_official_last_name": "FLEIG",
        "authorized_official_first_name": "JACLYN",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "803-386-1880",
        "authorized_official_credential": "MCD, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Columbia, SC
• Providers in Columbia, 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 Jan 13, 2022; 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.