Surprise Speech Therapy

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP5051 Issued in AZ

Legal business name

SURPRISE SPEECH THERAPY

Practice address

15315 W Pershing St
Surprise, AZ 85379-8159

Phone

(623) 521-0571

NPI assigned

Oct 21, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Mai Ling Chan, MS, CCC-SLP

Title

Director

Phone

(623) 521-0571

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224547200000",
    "number": "1518119577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15315 W PERSHING ST",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853798159",
            "telephone_number": "623-521-0571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15315 W PERSHING ST",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853798159",
            "telephone_number": "623-521-0571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURPRISE SPEECH THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-10-21",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "MAI LING",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "623-521-0571",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP5051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; 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.