Overton Speech and Language Center

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

10222 Issued in TX

Legal business name

OVERTON SPEECH AND LANGUAGE CENTER

Practice address

4763 Barwick Dr
Suite 103
Fort Worth, TX 76132-1500

Phone

(817) 294-8408

Fax

(817) 294-8411

NPI assigned

Nov 27, 2007

Last updated

Nov 27, 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

Valerie Johnston, M.S., C.C.C.-S.L.P.NPI 1922067602

Title

Speech-Language Pathologist

Phone

(817) 294-8408

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.

• Valerie Leigh Johnston, MS CCC SLP

  • Speech-Language Pathologist
  • Forth Worth, TX
  • NPI 1922067602
  NPD (past) Authorized official

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1619159134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4763 BARWICK DR",
            "address_2": "SUITE 103",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761321500",
            "telephone_number": "817-294-8408",
            "fax_number": "817-294-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4763 BARWICK DR",
            "address_2": "SUITE 103",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761321500",
            "telephone_number": "817-294-8408",
            "fax_number": "817-294-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OVERTON SPEECH AND LANGUAGE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-27",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "817-294-8408",
        "authorized_official_credential": "M.S., C.C.C.-S.L.P."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "10222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.