Memphis Speech-Language Pathology PLLC

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

Legal business name

MEMPHIS SPEECH-LANGUAGE PATHOLOGY PLLC

Practice address

800 N Houston Levee Rd
Cordova, TN 38018-6614

Phone

(901) 290-3857

Fax

(901) 235-9544

NPI assigned

Jul 29, 2021

Organization subpart

No

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

Authorized official

Name

Adetokunboh Ojuri, M.S., CCC-SLP

Title

Speech-Language Pathologist

Phone

(901) 290-3857

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 2

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

• Katilyn White, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Cordova, TN
  • NPI 1306683289
  NPD (past)
• Sadie Young, OTDR/L

  • Occupational Therapist
  • Memphis, TN
  • NPI 1508604901
  NPD (past)

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

{
    "created_epoch": "1627516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658880000000",
    "number": "1447923081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 N HOUSTON LEVEE RD",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380186614",
            "telephone_number": "901-290-3857",
            "fax_number": "901-235-9544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N HOUSTON LEVEE RD",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380186614",
            "telephone_number": "901-290-3857",
            "fax_number": "901-235-9544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMPHIS SPEECH-LANGUAGE PATHOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-29",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A",
        "authorized_official_last_name": "OJURI",
        "authorized_official_first_name": "ADETOKUNBOH",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "901-290-3857",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@memphisslp.com",
            "affiliation": "N",
            "address_1": "6000 Poplar Ave Ste 250",
            "city": "Memphis",
            "state": "TN",
            "country_code": "US",
            "postal_code": "381193974",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Angela J Mennefield, MA, CCC-SLP

• Hearing and Speech Clinic/Center in Cordova, TN
• Providers in Cordova, TN by specialty
• Hearing and Speech Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; 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.