Homefront Speech Therapy, PLLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

HOMEFRONT SPEECH THERAPY, PLLC

Practice address

19519 Deer Valley Dr
Cornelius, NC 28031-5691

Phone

(706) 512-7636

NPI assigned

Jun 5, 2024

Last updated

Jun 19, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

HOMEFRONT SPEECH THERAPY, PLLCAs reported in NPPES

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

Authorized official

Name

Mary Elizabeth McEwenNPI 1881061927

Title

Speech-Language Pathologist

Phone

(706) 512-7636

Specialties & licenses 1

Addresses

Part of

Homefront Speech Therapy PLLC

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.

• Mary Elizabeth McEwen, M.ED CCC-SLP

  • Speech-Language Pathologist
  • Cornelius, NC
  • NPI 1881061927
  NPD Authorized official

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

{
    "created_epoch": "1717545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718755200000",
    "number": "1629819339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19519 DEER VALLEY DR",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280315691",
            "telephone_number": "706-512-7636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19519 DEER VALLEY DR",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280315691",
            "telephone_number": "706-512-7636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMEFRONT SPEECH THERAPY, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOMEFRONT SPEECH THERAPY, PLLC",
        "enumeration_date": "2024-06-05",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A",
        "authorized_official_last_name": "MCEWEN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "706-512-7636"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Cornelius, NC
• Providers in Cornelius, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; 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.