Speech Care Clinic

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2709 Issued in LA

Legal business name

SPEECH CARE CLINIC

Practice address

8870 Youree Dr Ste 210
Shreveport, LA 71115-2512

Phone

(318) 798-2981

Fax

(318) 798-0447

NPI assigned

Jan 25, 2010

Organization subpart

No

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

Authorized official

Name

Judy Reller, CCC-SLP

Title

President

Phone

(318) 422-5460

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1264377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264377600000",
    "number": "1437480886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 ONEONTA ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711061129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8870 YOUREE DR STE 210",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711152512",
            "telephone_number": "318-798-2981",
            "fax_number": "318-798-0447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH CARE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-25",
        "last_updated": "2010-01-25",
        "status": "A",
        "authorized_official_last_name": "RELLER",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-422-5460",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "2709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Speech-Language Pathologist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2010; 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.