NPIMap

Organization Active NPI

Clarksdale Speech and Hearing Center

  • Speech-Language Pathologist
  • Clarksdale, MS
National Provider Identifier
1548207665
Registry record updated Oct 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
CLARKSDALE SPEECH AND HEARING CENTER
Practice address
1742 Cheryl St
Clarksdale, MS 38614-7218
Phone
(662) 627-5247
Fax
(662) 627-1739
NPI assigned
May 31, 2006
Last updated
Oct 13, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
CLARKSDALE SPEECH AND HEARING CENTER/ ELIZABETH LANEY AU.D.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 13, 2023

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

Authorized official

Name
Dr. Elizabeth Robertson Laney, AU.D.NPI 1073678249
Title
Director/Audiologist
Phone
(662) 627-5247

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

1742 Cheryl St
Clarksdale, MS 38614-7218

Mailing address

1742 Cheryl St
Clarksdale, MS 38614-7218
Phone (662) 627-5247

Other identifiers 1

IdentifierTypeStateIssuer
9011008MedicaidMS

National Provider Directory

National Provider Directory
Part of
Clarksdale Speech and Hearing Center

Practitioners & affiliated clinicians

Practitioners 3

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": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697155200000",
    "number": "1548207665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1742 CHERYL ST",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386147218",
            "telephone_number": "662-627-5247",
            "fax_number": "662-627-1739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1742 CHERYL ST",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386147218",
            "telephone_number": "662-627-5247",
            "fax_number": "662-627-1739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARKSDALE SPEECH AND HEARING CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLARKSDALE SPEECH AND HEARING CENTER/ ELIZABETH LANEY AU.D.",
        "enumeration_date": "2006-05-31",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A",
        "authorized_official_last_name": "LANEY",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "ROBERTSON",
        "authorized_official_title_or_position": "DIRECTOR/AUDIOLOGIST",
        "authorized_official_telephone_number": "662-627-5247",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "AU.D."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9011008",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksdale, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.