Active NPI
Kidz Speak Therapeutic Services LLC
- Speech-Language Pathologist
- Buford, GA
National Provider Identifier
1669974846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP007823
- Legal business name
- KIDZ SPEAK THERAPEUTIC SERVICES LLC
- Practice address
- 2853 Morgan Farm CT
Buford, GA 30519-3042 - Phone
- (215) 485-3954
- NPI assigned
- Mar 5, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kelly A Gallagher, M.S., CCC-SLP
- Title
- SLP/President
- Phone
- (215) 485-3954
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP007823 | GA | Primary |
Addresses
Primary practice location
2853 Morgan Farm CT
Buford, GA 30519-3042
Mailing address
2853 Morgan Farm CT
Buford, GA 30519-3042
Phone (215) 485-3954
National Provider Directory
National Provider DirectoryLocations
1130 Hurricane Shoals Rd NE
Lawrenceville, GA 30043
Phone (470) 323-6711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520208000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1520208000000",
"number": "1669974846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2853 MORGAN FARM CT",
"city": "BUFORD",
"state": "GA",
"postal_code": "305193042",
"telephone_number": "215-485-3954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2853 MORGAN FARM CT",
"city": "BUFORD",
"state": "GA",
"postal_code": "305193042",
"telephone_number": "215-485-3954"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIDZ SPEAK THERAPEUTIC SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-05",
"last_updated": "2018-03-05",
"status": "A",
"authorized_official_last_name": "GALLAGHER",
"authorized_official_first_name": "KELLY",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "SLP/PRESIDENT",
"authorized_official_telephone_number": "215-485-3954",
"authorized_official_credential": "M.S., CCC-SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP007823",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buford, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.