The Speech Shop, Inc.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

532 Issued in AR

Legal business name

THE SPEECH SHOP, INC.

Practice address

104 E Everett St
Pocahontas, AR 72455

Phone

(870) 378-6789

Fax

(870) 248-0036

NPI assigned

Sep 21, 2007

Last updated

Sep 21, 2007By 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

Mrs. Marilyn Kay Hogan, CCC-SLPNPI 1811048267

Title

Speech Pathologist/Owner

Phone

(870) 378-6789

Specialties & licenses 1

Addresses

Locations

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.

• Marilyn Kay Hogan, MSP, CCC-SLP

  • Speech-Language Pathologist
  • Pocahontas, AR
  • NPI 1811048267
  NPD (past) Authorized official

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

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190332800000",
    "number": "1598951600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "452 LAKE DR",
            "city": "POCAHONTAS",
            "state": "AR",
            "postal_code": "724551439",
            "telephone_number": "870-378-6789",
            "fax_number": "870-248-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 E EVERETT ST",
            "city": "POCAHONTAS",
            "state": "AR",
            "postal_code": "72455",
            "telephone_number": "870-378-6789",
            "fax_number": "870-248-0036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SPEECH SHOP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-21",
        "last_updated": "2007-09-21",
        "status": "A",
        "authorized_official_last_name": "HOGAN",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST/OWNER",
        "authorized_official_telephone_number": "870-378-6789",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Doni Martin Center for Developmental Services, Inc.
• The Public Building Authority of the City of Pocahontas Arkansas
• The Public Building Authority of the City of Pocahontas Arkansas
• The Public Building Authority of the City of Pocahontas Arkansas
• The Public Building Authority of the City of Pocahontas Arkansas
• Blair Thielemier, PHARMD
• Heather Nicole Thielemier, QBHP
• Laura Thielemier, CCC-SLP
• Amy O'Neal Thomas, LCSW
• Robyn Thompson, MHPP

• Speech-Language Pathologist in Pocahontas, AR
• Providers in Pocahontas, AR by specialty
• Speech-Language Pathologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2007; 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.