The Shibboleth Group for Speech & Language Improvement, Inc

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202003961 Issued in VA

Legal business name

THE SHIBBOLETH GROUP FOR SPEECH & LANGUAGE IMPROVEMENT, INC

Doing business as

The Shibboleth Group

Practice address

1701 Lawrence St NE
Washington, DC 20018-3804

Phone

(202) 271-1791

Fax

(202) 832-9552

NPI assigned

Apr 10, 2007

Last updated

Aug 22, 2020By 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

Beverly S. Khabo, CCC-SLPNPI 1942410717

Title

President

Phone

(202) 271-1791

Specialties & licenses 1

Addresses

Other names 1

• The Shibboleth Group Doing business as

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.

• Beverly S. Khabo, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Washington, DC
  • NPI 1942410717
  NPD (past) Authorized official

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649393976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 LAWRENCE ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200183804",
            "telephone_number": "202-271-1791",
            "fax_number": "202-832-9552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 LAWRENCE ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200183804",
            "telephone_number": "202-271-1791",
            "fax_number": "202-832-9552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SHIBBOLETH GROUP FOR SPEECH & LANGUAGE IMPROVEMENT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KHABO",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "202-271-1791",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202003961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Shibboleth Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Speech-Language Pathologist in Washington, DC
• Providers in Washington, DC by specialty
• Speech-Language Pathologist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.