Speech Pathology Services, PLLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3713 Issued in OK

Legal business name

SPEECH PATHOLOGY SERVICES, PLLC

Practice address

1000 Rockford CT
Ardmore, OK 73401-3408

Phone

(580) 220-7786

Fax

(580) 319-5488

NPI assigned

Oct 7, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Stacey Ogden, M.A.

Title

Speech-Language Pathologist

Phone

(580) 220-7786

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1475798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489881600000",
    "number": "1639629223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 ROCKFORD CT",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734013408",
            "telephone_number": "580-220-7786",
            "fax_number": "580-319-5488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 ROCKFORD CT",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734013408",
            "telephone_number": "580-220-7786",
            "fax_number": "580-319-5488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH PATHOLOGY SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-07",
        "last_updated": "2017-03-19",
        "status": "A",
        "authorized_official_last_name": "OGDEN",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "580-220-7786",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "3713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200665210A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Ardmore, OK
• Providers in Ardmore, OK by specialty
• Speech-Language Pathologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2017; 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.