Signature Speech Services LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP007351 Issued in GA

Legal business name

SIGNATURE SPEECH SERVICES LLC

Practice address

715 Adcock CT
Evans, GA 30809-5104

Phone

(229) 444-4774

NPI assigned

Jan 3, 2018

Organization subpart

No

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

Authorized official

Name

Latray Walker, MED, CCC/SLP

Title

Owner

Phone

(229) 444-4774

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1514937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693612800000",
    "number": "1497262158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 ADCOCK CT",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308095104",
            "telephone_number": "706-834-2794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 ADCOCK CT",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308095104",
            "telephone_number": "229-444-4774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGNATURE SPEECH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-03",
        "last_updated": "2023-09-02",
        "certification_date": "2023-09-02",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "LATRAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-444-4774",
        "authorized_official_credential": "MED, CCC/SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP007351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Steven Shaw, O.D.
• Lisa Marie Sheehan, M.D.
• Bozeman K Sherwood, MD
• Samir Nicolas Shwayri, PHARMD
• Nancy Sickafoose, RN
• Linda Simanski, RN
• David Collins Simonds, D.M.D.
• Cheyenne Sims, BS IN PSYCHOLOGY
• Meenu G Singhal, MD
• Christina Mary Johnson Skariah, DO

• Speech-Language Pathologist in Evans, GA
• Providers in Evans, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2023; 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.