South Metro Therapy Services LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP005324 Issued in GA

Legal business name

SOUTH METRO THERAPY SERVICES LLC

Practice address

3097 Dawson LN SW
Atlanta, GA 30331-5473

Phone

(678) 793-5963

Fax

(949) 955-7203

NPI assigned

Nov 13, 2007

Last updated

Jan 5, 2012By 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

Brian C Richberg, SLP

Title

Speech Language Pathologist

Phone

(678) 793-9563

Specialties & licenses 1

Addresses

Other names 1

• Brian Richberg Other name

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325721600000",
    "number": "1639359169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3097 DAWSON LN SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303315473",
            "telephone_number": "678-793-5963",
            "fax_number": "949-955-7203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3097 DAWSON LN SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303315473",
            "telephone_number": "678-793-5963",
            "fax_number": "949-955-7203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH METRO THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2012-01-05",
        "status": "A",
        "authorized_official_last_name": "RICHBERG",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "678-793-9563",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP005324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brian Richberg",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Speech-Language Pathologist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2012; 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.