Speech Spark Therapy Services LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2017016066 Issued in MO

Legal business name

SPEECH SPARK THERAPY SERVICES LLC

Practice address

8764 Rosalie Ave Unit 440162
Saint Louis, MO 63144-5026

Phone

(314) 690-8521

NPI assigned

Jul 8, 2018

Organization subpart

No

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

Authorized official

Name

Elizabeth J Lian, CCC-SLP

Title

Owner/President

Phone

(314) 690-8521

Specialties & licenses 1

Addresses

Other names 1

• Speech Spark SLP Other name

Locations

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

{
    "created_epoch": "1531008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532995200000",
    "number": "1497241988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1241 STRASSNER DR APT 1402",
            "city": "BRENTWOOD",
            "state": "MO",
            "postal_code": "631441876",
            "telephone_number": "904-303-0183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8764 ROSALIE AVE UNIT 440162",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631445026",
            "telephone_number": "314-690-8521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH SPARK THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-08",
        "last_updated": "2018-07-31",
        "status": "A",
        "authorized_official_last_name": "LIAN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "314-690-8521",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2017016066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Speech Spark SLP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Michael A Specter, DPM
• Trisha L Specter, PA-C
• Gershon J Spector, MD
• Kathryn A Spectorsky, MD
• Spectrum Psychiatry, P.C.
• Christopher M Speidel, MD
• Allissa Speiser, PA
• Ann Katherine Speiser, CRNA
• James Speiser, M.D.
• Jennifer Lee Speiser, NP

• Speech-Language Pathologist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2018; 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.