Southern Speech Practitioners LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

SOUTHERN SPEECH PRACTITIONERS LLC

Practice address

116 Fairpoint Dr
Gulf Breeze, FL 32561-4306

Phone

(850) 748-2819

Fax

(850) 733-9419

NPI assigned

Mar 2, 2020

Organization subpart

No

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

Authorized official

Name

Scarlet Watson, MS, CCC-SLP

Title

President

Phone

(850) 748-2819

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1583107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585612800000",
    "number": "1659905412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 FAIRPOINT DR",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325614306",
            "telephone_number": "850-748-2819",
            "fax_number": "850-733-9419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 FAIRPOINT DR",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325614306",
            "telephone_number": "850-748-2819",
            "fax_number": "850-733-9419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN SPEECH PRACTITIONERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-02",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "SCARLET",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-748-2819",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Lyle Smuda, ATC
• Carl Maxwell Soelzer, LMHC
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• Carl Granberry Speer, MD
• Richard J Stachler, M.D.
• Gearlyn Michelle Staggs, RN
• Walter Caleb Stallings, DMD

• Speech-Language Pathologist in Gulf Breeze, FL
• Providers in Gulf Breeze, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.