NPIMap

Organization Active NPI

Creative Speech & Language Therapy

  • Clinic/Center
  • Hanover, MD
National Provider Identifier
1528437621
Registry record updated Sep 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
07593 Issued in MD
Legal business name
CREATIVE SPEECH & LANGUAGE THERAPY
Practice address
2104 Piney Branch Cir
#303
Hanover, MD 21076-1833
Phone
(410) 841-4514
NPI assigned
Sep 18, 2015
Last updated
Sep 18, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2015

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

Authorized official

Name
Mrs. Jocelyn C Davis, M.S., CCC-SLPNPI 1528497039
Title
Speech-Language Pathologist
Phone
(410) 841-4514

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 07593 MD Primary

Addresses

Primary practice location

2104 Piney Branch Cir
#303
Hanover, MD 21076-1833

Mailing address

2104 Piney Branch Cir
#303
Hanover, MD 21076-1833
Phone (410) 841-4514

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1442534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442534400000",
    "number": "1528437621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 PINEY BRANCH CIR",
            "address_2": "#303",
            "city": "HANOVER",
            "state": "MD",
            "postal_code": "210761833",
            "telephone_number": "410-841-4514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 PINEY BRANCH CIR",
            "address_2": "#303",
            "city": "HANOVER",
            "state": "MD",
            "postal_code": "210761833",
            "telephone_number": "410-841-4514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE SPEECH & LANGUAGE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-18",
        "last_updated": "2015-09-18",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JOCELYN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "410-841-4514",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MD",
            "license": "07593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanover, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2015; 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.