NPIMap

Organization Active NPI

Speech Pathology Services, LLC

  • Speech-Language Pathologist
  • Oklahoma City, OK
National Provider Identifier
1629306477
Registry record updated Dec 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2755 Issued in OK
Legal business name
SPEECH PATHOLOGY SERVICES, LLC
Practice address
8524 S Western Ave
Suite - 112
Oklahoma City, OK 73139-9246
Phone
(405) 640-7045
Fax
(405) 702-9397
NPI assigned
Dec 4, 2009
Last updated
Dec 4, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
BRENDA DAVISAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 4, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Brenda Davis, M.ED., CCC-SLPNPI 1619205465
Title
Speech-Language Pathologist/Owner
Phone
(405) 640-7045

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2755 OK Primary

Addresses

Primary practice location

8524 S Western Ave
Suite - 112
Oklahoma City, OK 73139-9246

Mailing address

8524 S Western Ave
Suite - 112
Oklahoma City, OK 73139-9246
Phone (405) 640-7045

National Provider Directory

National Provider Directory

Locations

8524 S Western Ave
Ste 112
Oklahoma City, OK 73139
Phone (405) 640-7045

Practitioners & affiliated clinicians

Practitioners 4

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": "1259884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259884800000",
    "number": "1629306477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8524 S WESTERN AVE",
            "address_2": "SUITE - 112",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731399246",
            "telephone_number": "405-640-7045",
            "fax_number": "405-702-9397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8524 S WESTERN AVE",
            "address_2": "SUITE - 112",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731399246",
            "telephone_number": "405-640-7045",
            "fax_number": "405-702-9397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH PATHOLOGY SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRENDA DAVIS",
        "enumeration_date": "2009-12-04",
        "last_updated": "2009-12-04",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST/OWNER",
        "authorized_official_telephone_number": "405-640-7045",
        "authorized_official_credential": "M.ED., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "2755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2009; 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.