Seaside Speech and Language Therapy, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3862 Issued in SC

Legal business name

SEASIDE SPEECH AND LANGUAGE THERAPY, LLC

Practice address

1525 Carolina Jasmine Rd
Mount Pleasant, SC 29464-7493

Phone

(843) 817-3068

Fax

(843) 971-8932

NPI assigned

Jul 2, 2008

Organization subpart

No

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

Authorized official

Name

Margo Lynn Dixon, M.A. CCC-SLPNPI 1366556946

Title

Speech-Language Pathologist

Phone

(843) 817-3068

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Margo Dixon, MS CCC SLP

  • Speech-Language Pathologist
  • Charlotte, NC
  • NPI 1366556946
  NPD (past) Authorized official

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1679735492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 CAROLINA JASMINE RD",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294647493",
            "telephone_number": "843-817-3068",
            "fax_number": "843-971-8932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 CAROLINA JASMINE RD",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294647493",
            "telephone_number": "843-817-3068",
            "fax_number": "843-971-8932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASIDE SPEECH AND LANGUAGE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-02",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "MARGO",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "843-817-3068",
        "authorized_official_credential": "M.A. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "3862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Speech-Language Pathologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.