The Speech Therapy Closet

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

THE SPEECH THERAPY CLOSET

Practice address

5213 Basco CT
Elkton, FL 32033-4028

Phone

(904) 233-4552

Fax

(904) 677-7800

NPI assigned

Sep 28, 2007

Last updated

Sep 28, 2007By 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

Ms. Christina L Haislip, MS CCC SLP

Title

Owner/Speech Language Pathologist

Phone

(904) 233-4552

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190937600000",
    "number": "1396932786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 STATE ROAD 13",
            "address_2": "SUITE 106 - 235",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322593860",
            "fax_number": "904-677-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5213 BASCO CT",
            "city": "ELKTON",
            "state": "FL",
            "postal_code": "320334028",
            "telephone_number": "904-233-4552",
            "fax_number": "904-677-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SPEECH THERAPY CLOSET",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-28",
        "last_updated": "2007-09-28",
        "status": "A",
        "authorized_official_last_name": "HAISLIP",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "904-233-4552",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS CCC SLP"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Elkton, FL
• Providers in Elkton, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2007; 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.