Speech and Language Associates, LLC

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

License

SLP001471 Issued in GA

Legal business name

SPEECH AND LANGUAGE ASSOCIATES, LLC

Practice address

105 Tamie CT
Kathleen, GA 31047-2222

Phone

(478) 397-7886

Fax

(478) 218-2715

NPI assigned

Jan 11, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Susan Carreker Daughtry, MCD,CCC-SLPNPI 1255517967

Title

President

Phone

(478) 397-7886

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Susan Carreker Daughtry, MCD,CCC-SLP

  • Speech-Language Pathologist
  • Kathleen, GA
  • NPI 1255517967
  NPD (past) Authorized official

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

{
    "created_epoch": "1200009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341964800000",
    "number": "1689850398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 TAMIE CT",
            "city": "KATHLEEN",
            "state": "GA",
            "postal_code": "310472222",
            "telephone_number": "478-397-7886",
            "fax_number": "478-218-2715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 TAMIE CT",
            "city": "KATHLEEN",
            "state": "GA",
            "postal_code": "310472222",
            "telephone_number": "478-397-7886",
            "fax_number": "478-218-2715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH AND LANGUAGE ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-11",
        "last_updated": "2012-07-11",
        "status": "A",
        "authorized_official_last_name": "DAUGHTRY",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "CARREKER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "478-397-7886",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MCD,CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "GA",
            "license": "SLP001471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000595966",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Scott, PHARMD
• Tracy Shauntel Simpkins, CADC CAMS CGS CRPS
• Destiny Small
• Erin Denita Smith, LMHC
• Southern Bridge Counseling, LLC
• Peyton Olivia Stewart, MD
• Taylor Regional Hospital (Taylor Physicians Practice # 15)
• Taylor Regional Hospital (Taylor Physicians Practice # 14)
• The Speech Boutique Therapy Services LLC
• Adrianne Frankie Towles

• Hearing and Speech Clinic/Center in Kathleen, GA
• Providers in Kathleen, GA by specialty
• Hearing and Speech Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2012; 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.