Organization Active NPI

Speech-Language Pathways Therapy Services, LLC

  • Speech-Language Pathologist
  • Columbia, SC
National Provider Identifier
1598920696
Registry record updated Jul 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3441 Issued in SC
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2008

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)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1922075712MedicaidSC

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": "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

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.

Verify at the official NPI Registry.