Community Speech Pathology, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

22003943A Issued in IN

Legal business name

COMMUNITY SPEECH PATHOLOGY, LLC

Practice address

1127 Eastridge Dr
New Albany, IN 47150-2086

Phone

(812) 786-1568

NPI assigned

Apr 14, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Cara Jeanne Gray, MA, CCC-SLP

Title

Co-Owner

Phone

(812) 786-1568

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208131200000",
    "number": "1356515118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 EASTRIDGE DR",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471502086",
            "telephone_number": "812-786-1568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 EASTRIDGE DR",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471502086",
            "telephone_number": "812-786-1568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY SPEECH PATHOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-14",
        "last_updated": "2008-04-14",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "CARA",
        "authorized_official_middle_name": "JEANNE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "812-786-1568",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22003943A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in New Albany, IN
• Providers in New Albany, IN by specialty
• Speech-Language Pathologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; 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.