Georgette M Walker, M.S CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL014393 Issued in PA

Practice address

1019 W 9TH Ave Ste D
King of Prussia, PA 19406-1220

Phone

(610) 992-9900

Fax

(610) 992-9999

NPI assigned

Sep 3, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Georgette M. Carswell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gym-Jam Therapeutics, Inc.

  • Community/Behavioral Health Agency
  • Pottsville, PA
  • NPI 1801337910

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1315008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552953600000",
    "number": "1366723389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 WASHINGTON ST APT 4310",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194284900",
            "telephone_number": "631-793-9546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 W 9TH AVE STE D",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194061220",
            "telephone_number": "610-992-9900",
            "fax_number": "610-992-9999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "GEORGETTE",
        "middle_name": "M",
        "credential": "M.S CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-03",
        "last_updated": "2019-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL014393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GEORGETTE",
            "last_name": "CARSWELL",
            "middle_name": "M.",
            "credential": "M.S. CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Wal-Mart Stores, Inc.
• Annie Wald, MA
• Walgreen Co
• Cassiopoeia Walker-St.Felix
• Eric Roger Walker Jr., D.C.
• Kristin Wooten Walker, C.N.M.
• Tyanna Walker, LBS
• Jordyn Wallace, CRNP
• William Wallace
• Rose Walley, RBT

• Speech-Language Pathologist in King of Prussia, PA
• Providers in King of Prussia, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2019; 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.