Active NPI
Hargrove Speech Language Pathology, LLC
- Speech-Language Pathologist
- Shreveport, LA
National Provider Identifier
1447633698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 6575
- Legal business name
- HARGROVE SPEECH LANGUAGE PATHOLOGY, LLC
- Practice address
- 8870 Youree Dr
Suite 210
Shreveport, LA 71115-2512 - Phone
- (318) 393-8729
- NPI assigned
- Jul 7, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kelly McCoy Hargrove, MS, CCC-SLP
- Title
- Speech-Language Pathologist
- Phone
- (318) 393-8729
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 6575 | LA | Primary |
Addresses
Primary practice location
8870 Youree Dr
Suite 210
Shreveport, LA 71115-2512
Mailing address
8870 Youree Dr
Suite 210
Shreveport, LA 71115-2512
National Provider Directory
National Provider DirectoryLocations
8870 Youree Dr
Ste 210
Shreveport, LA 71115
Phone (318) 393-8729
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436227200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1436227200000",
"number": "1447633698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8870 YOUREE DR",
"address_2": "SUITE 210",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711152512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8870 YOUREE DR",
"address_2": "SUITE 210",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711152512",
"telephone_number": "318-393-8729"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARGROVE SPEECH LANGUAGE PATHOLOGY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-07-07",
"last_updated": "2015-07-07",
"status": "A",
"authorized_official_last_name": "HARGROVE",
"authorized_official_first_name": "KELLY",
"authorized_official_middle_name": "MCCOY",
"authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
"authorized_official_telephone_number": "318-393-8729",
"authorized_official_credential": "MS, CCC-SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "LA",
"license": "6575",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.