Active NPI
McGowentherapy Services, Inc.
- Speech-Language Pathologist
- Acworth, GA
National Provider Identifier
1366507576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 4454
- Legal business name
- MCGOWENTHERAPY SERVICES, INC.
- Practice address
- 1471 Grist Mill Dr
Acworth, GA 30101-8623 - Phone
- (770) 639-6443
- NPI assigned
- Dec 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laura McGowen, M.S., CCC-SLP
- Title
- Owner, Speech Language Pathologist
- Phone
- (770) 639-6443
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 4454 | GA | Primary |
Addresses
Primary practice location
1471 Grist Mill Dr
Acworth, GA 30101-8623
Mailing address
1471 Grist Mill Drive
Acworth, GA 30101-8623
Phone (770) 639-6443
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Acworth, GA
- NPI 1871656033
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1366507576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1471 GRIST MILL DRIVE",
"city": "ACWORTH",
"state": "GA",
"postal_code": "301018623",
"telephone_number": "770-639-6443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1471 GRIST MILL DR",
"city": "ACWORTH",
"state": "GA",
"postal_code": "301018623",
"telephone_number": "770-639-6443"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCGOWENTHERAPY SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-27",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MCGOWEN",
"authorized_official_first_name": "LAURA",
"authorized_official_title_or_position": "OWNER, SPEECH LANGUAGE PATHOLOGIST",
"authorized_official_telephone_number": "770-639-6443",
"authorized_official_credential": "M.S., CCC-SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "4454",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Acworth, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.