Georgia M Phillips CCC-SLP, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

GEORGIA M PHILLIPS CCC-SLP, LLC

Practice address

2600 Old Alice Rd Ste D
Brownsville, TX 78521-1456

Phone

(956) 982-8578

Fax

(888) 825-8571

NPI assigned

Aug 19, 2013

Organization subpart

No

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

Authorized official

Name

Georgia M Phillips, CCC-SLP

Title

Owner

Phone

(956) 982-8578

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1376870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376870400000",
    "number": "1356774947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 OLD ALICE RD STE D",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785211456",
            "telephone_number": "956-982-8578",
            "fax_number": "888-825-8571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 OLD ALICE RD STE D",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785211456",
            "telephone_number": "956-982-8578",
            "fax_number": "888-825-8571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA M PHILLIPS CCC-SLP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-19",
        "last_updated": "2013-08-19",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "GEORGIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-982-8578",
        "authorized_official_credential": "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 Brownsville, TX
• Providers in Brownsville, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2013; 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.