Speech Beginnings, Inc.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP005082 Issued in GA

Legal business name

SPEECH BEGINNINGS, INC.

Practice address

5243 Riverside Dr
# 1114
Macon, GA 31210-8803

Phone

(478) 213-4604

Fax

(478) 238-4796

NPI assigned

Dec 1, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Shannon Susanne Gonzalez, M.A., CCC-SLP

Title

Speech-Language Pathologist

Phone

(478) 213-4604

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364169600000",
    "number": "1669540480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26477",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312216477",
            "telephone_number": "478-213-4604",
            "fax_number": "478-238-4796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5243 RIVERSIDE DR",
            "address_2": "# 1114",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312108803",
            "telephone_number": "478-213-4604",
            "fax_number": "478-238-4796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH BEGINNINGS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2013-03-25",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "SUSANNE",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "478-213-4604",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP005082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000913844C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Macon, GA
• Providers in Macon, 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 Mar 25, 2013; 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.