Speech Pathology Associates

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

00337 Issued in MO

Legal business name

SPEECH PATHOLOGY ASSOCIATES

Practice address

215 W Main St
Suite B
Jackson, MO 63755-1821

Phone

(573) 204-0490

Fax

(573) 204-0009

NPI assigned

Nov 22, 2006

Last updated

Aug 7, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Carol Sue Ludwig, PHD CCC SPNPI 1003981036

Title

Owner Speech Language Pathologist

Phone

(573) 204-0490

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carol Sue Ludwig, PHD CCC SP

  • Speech-Language Pathologist
  • Jackson, MO
  • NPI 1003981036
  NPD (past) Authorized official

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218067200000",
    "number": "1386719300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 W MAIN ST",
            "address_2": "SUITE B",
            "city": "JACKSON",
            "state": "MO",
            "postal_code": "637551821",
            "telephone_number": "573-204-0490",
            "fax_number": "573-204-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 W MAIN ST",
            "address_2": "SUITE B",
            "city": "JACKSON",
            "state": "MO",
            "postal_code": "637551821",
            "telephone_number": "573-204-0490",
            "fax_number": "573-204-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH PATHOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2008-08-07",
        "status": "A",
        "authorized_official_last_name": "LUDWIG",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "OWNER SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "573-204-0490",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD CCC SP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "00337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "857644603",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southeast Behavior Intervention & Consultation
• Southeast Hospital (Mercy Pharmacy Jackson)
• Southeast Missouri Network Against Sexual Violence Inc.
• Garrett S Sparks, DDS
• Special Care Podiatry of Missouri, LLC
• Steven L Horst (Horst Pharmacy)
• Steven L Horst (Horst Pharmacy)
• Angela Stillwell, LPC
• Matthew Stoelb, PH.D., BCBA
• Christine Stone

• Speech-Language Pathologist in Jackson, MO
• Providers in Jackson, MO by specialty
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.