Active NPI
Speech-Language Pathways Therapy Services, LLC
- Speech-Language Pathologist
- Columbia, SC
National Provider Identifier
1598920696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 3441
- Legal business name
- SPEECH-LANGUAGE PATHWAYS THERAPY SERVICES, LLC
- Practice address
- 708 Fairway LN
Columbia, SC 29210-5715 - Phone
- (803) 603-2252
- Fax
- (803) 798-2892
- NPI assigned
- Jul 28, 2008
- Last updated
- Jul 28, 2008
- 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
- Mrs. Loretta Jones Brunson, M.A. CCC-SLP
- Title
- Speech-Language Pathologist
- Phone
- (803) 603-2252
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 3441 | SC | Primary |
Addresses
Primary practice location
708 Fairway LN
Columbia, SC 29210-5715
Mailing address
708 Fairway LN
Columbia, SC 29210-5715
Phone (803) 603-2252
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922075712 | Medicaid | SC |
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
- Columbia, SC
- NPI 1922075712
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217203200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1217203200000",
"number": "1598920696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "708 FAIRWAY LN",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292105715",
"telephone_number": "803-603-2252",
"fax_number": "803-798-2892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "708 FAIRWAY LN",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292105715",
"telephone_number": "803-603-2252",
"fax_number": "803-798-2892"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPEECH-LANGUAGE PATHWAYS THERAPY SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-28",
"last_updated": "2008-07-28",
"status": "A",
"authorized_official_last_name": "BRUNSON",
"authorized_official_first_name": "LORETTA",
"authorized_official_middle_name": "JONES",
"authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
"authorized_official_telephone_number": "803-603-2252",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "M.A. CCC-SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "SC",
"license": "3441",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1922075712",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
- Spectrum Family Solutions & Center for Stress Management LLC (Spectrum Family Solutions)
- Speech Formula Therapeutics, LLC
- Speech Reach, Inc.
- Speech Success, LLC
- Speech Therapy RX, LLC
- Gloria Canty Speed, RN, BSN
- Otis Donnell Speight, MD
- Martha Kay Spell, MSP, CCC-SLP
- Taylor Leigh Spell, MA
- Jeanette Ehlers Spence, APRN, PMHCNS-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.