NPIMap

Organization Active NPI

Milton Speech Pathology, LLC

Doing business as Amy Squires, SLP

  • Speech-Language Pathologist
  • Roswell, GA
National Provider Identifier
1679020499
Registry record updated Sep 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP008235 Issued in GA
Legal business name
MILTON SPEECH PATHOLOGY, LLC
Doing business as
Amy Squires, SLP
Practice address
1004 Bombay LN
Roswell, GA 30076-5820
Phone
(404) 719-3991
NPI assigned
Sep 9, 2016
Last updated
Sep 9, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2016

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

Authorized official

Name
Amy Squires, SLP
Title
Ceo
Phone
(404) 719-3991

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP008235 GA Primary

Addresses

Primary practice location

1004 Bombay LN
Roswell, GA 30076-5820

Mailing address

1004 Bombay LN
Roswell, GA 30076-5820
Phone (404) 719-3991

Other names 1

  • Amy Squires, SLP Doing business as

National Provider Directory

National Provider Directory

Locations

3900 Legacy Park Blvd NW
Ste A100
Kennesaw, GA 30144
Phone (678) 824-2145

1004 Bombay Ln
Roswell, GA 30076
Phone (404) 719-3991

11285 Elkins Rd
Ste G2
Roswell, GA 30076
Phone (678) 824-2145

1329 Northmeadow Pkwy
Roswell, GA 30076
Phone (678) 824-2145

Practitioners & affiliated clinicians

Practitioners 23

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.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1473379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473379200000",
    "number": "1679020499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 BOMBAY LN",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765820",
            "telephone_number": "404-719-3991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 BOMBAY LN",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765820",
            "telephone_number": "404-719-3991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILTON SPEECH PATHOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-09",
        "last_updated": "2016-09-09",
        "status": "A",
        "authorized_official_last_name": "SQUIRES",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-719-3991",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP008235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amy Squires, SLP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; 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.