Speech Language Pathology Assoc Inc

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

00671321

Legal business name

SPEECH LANGUAGE PATHOLOGY ASSOC INC

Practice address

4870 Arboretum Dr
Saginaw, MI 48638-6371

Phone

(989) 792-1303

NPI assigned

Nov 11, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Elmo Le Eugenio, MED CCC SLP

Title

Director

Phone

(989) 792-1303

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1131667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467433805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4870 ARBORETUM DR",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486386371",
            "telephone_number": "989-792-1303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4870 ARBORETUM DR",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486386371",
            "telephone_number": "989-792-1303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH LANGUAGE PATHOLOGY ASSOC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EUGENIO",
        "authorized_official_first_name": "ELMO",
        "authorized_official_middle_name": "LE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "989-792-1303",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MED CCC SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": "00671321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.