East Alabama Specialty Therapy Clinic, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

EAST ALABAMA SPECIALTY THERAPY CLINIC, LLC

Doing business as

EAST Clinic

Practice address

1805 Raymer PL
Auburn, AL 36830-2187

Phone

(334) 759-0111

Fax

(334) 521-7251

NPI assigned

Aug 31, 2012

Last updated

Aug 31, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennie Belle Lombardo, MCD, CCC-SLP

Title

Ceo Manager

Phone

(334) 759-0111

Specialties & licenses 3

Addresses

Other names 1

• EAST Clinic Doing business as

Locations

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

{
    "created_epoch": "1346371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346371200000",
    "number": "1528317849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 MOORES MILL RD",
            "address_2": "SUITE 265-128",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368308480",
            "telephone_number": "334-759-0111",
            "fax_number": "334-521-7251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 RAYMER PL",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368302187",
            "telephone_number": "334-759-0111",
            "fax_number": "334-521-7251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST ALABAMA SPECIALTY THERAPY CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-31",
        "last_updated": "2012-08-31",
        "status": "A",
        "authorized_official_last_name": "LOMBARDO",
        "authorized_official_first_name": "JENNIE",
        "authorized_official_middle_name": "BELLE",
        "authorized_official_title_or_position": "CEO MANAGER",
        "authorized_official_telephone_number": "334-759-0111",
        "authorized_official_credential": "MCD, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EAST Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Speech-Language Pathologist in Auburn, AL
• Providers in Auburn, AL by specialty
• Speech-Language Pathologist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2012; 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.