Active NPI
Speech Sounds, LLC
- Hearing and Speech Clinic/Center
- Marietta, GA
National Provider Identifier
1558862748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing and Speech Clinic/Center
- Legal business name
- SPEECH SOUNDS, LLC
- Practice address
- 1459 Fenwick Dr SW
Marietta, GA 30064-2783 - Phone
- (678) 471-5734
- NPI assigned
- Feb 23, 2018
- Last updated
- Feb 23, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Roger A Cleckley, MA, CCC-SLP
- Title
- Speech Pathologist
- Phone
- (678) 471-5734
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing and Speech Clinic/Center | 261QH0700X | GA | Primary |
Addresses
Primary practice location
1459 Fenwick Dr SW
Marietta, GA 30064-2783
Mailing address
1459 Fenwick Dr SW
Marietta, GA 30064-2783
Phone (678) 471-5734
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003201399A | Medicaid | GA |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Speech-Language Pathologist
- Marietta, GA
- NPI 1841376829
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519344000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1519344000000",
"number": "1558862748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1459 FENWICK DR SW",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300642783",
"telephone_number": "678-471-5734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1459 FENWICK DR SW",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300642783",
"telephone_number": "678-471-5734"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPEECH SOUNDS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-02-23",
"last_updated": "2018-02-23",
"status": "A",
"authorized_official_last_name": "CLECKLEY",
"authorized_official_first_name": "ROGER",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "SPEECH PATHOLOGIST",
"authorized_official_telephone_number": "678-471-5734",
"authorized_official_credential": "MA, CCC-SLP"
},
"taxonomies": [
{
"code": "261QH0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, Hearing and Speech",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003201399A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.