Organization Active NPI

Kidz Speak Therapeutic Services LLC

  • Speech-Language Pathologist
  • Buford, GA
National Provider Identifier
1669974846
Registry record updated Mar 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP007823 Issued in GA
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

Updated by the provider on Mar 5, 2018

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)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.