Summerville Speech Therapy, PA

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

312 Issued in SC

Legal business name

SUMMERVILLE SPEECH THERAPY, PA

Practice address

1551 Ben Sawyer Blvd
Unit 1-E
Mt Pleasant, SC 29464-5500

Phone

(843) 856-4949

NPI assigned

Dec 27, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Eleanor Gray Smith, CCC-SLPNPI 1679537963

Title

President

Phone

(843) 856-4949

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Eleanor G Smith, CCC SLP

  • Speech-Language Pathologist
  • Mount Pleasant, SC
  • NPI 1679537963
  NPD (past) Authorized official

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": "1376608612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1342",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294841342",
            "telephone_number": "843-856-4949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 BEN SAWYER BLVD",
            "address_2": "UNIT 1-E",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294645500",
            "telephone_number": "843-856-4949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMERVILLE SPEECH THERAPY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ELEANOR",
        "authorized_official_middle_name": "GRAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-856-4949",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3442",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia Becher Strout
• Brian Kenneth Sullivan, PSYD
• Cara McMenamin Sullivan, LPC
• Caroline Friend Sullivan, RPH
• Kyli Quinn Sullivan
• Tatum Sumner
• Sunbelt Medical Solutions
• Ashley Curtis Sundberg, PA-C
• Sunflower Speech and Language Therapy, LLC
• Gerald Sunkin, O.D

• Speech-Language Pathologist in Mount Pleasant, SC
• Providers in Mount Pleasant, 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 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.

Verify at the official NPI Registry.