Speech Breakthrough, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

449440 Issued in GA

Legal business name

SPEECH BREAKTHROUGH, LLC

Practice address

157 Windcroft LN NW
Acworth, GA 30101-3767

Phone

(770) 516-0156

Fax

(770) 516-0156

NPI assigned

Aug 18, 2008

Last updated

Aug 18, 2008By 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

Ms. Dedra Hillsman, M.S. CCC-SLP

Title

Speech Pathologist

Phone

(770) 516-0156

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219017600000",
    "number": "1538315874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 148",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301010148",
            "telephone_number": "770-516-0156",
            "fax_number": "770-516-0156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 WINDCROFT LN NW",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301013767",
            "telephone_number": "770-516-0156",
            "fax_number": "770-516-0156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH BREAKTHROUGH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-18",
        "last_updated": "2008-08-18",
        "status": "A",
        "authorized_official_last_name": "HILLSMAN",
        "authorized_official_first_name": "DEDRA",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "770-516-0156",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "449440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Acworth, GA
• Providers in Acworth, 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 Aug 18, 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.