Supreme Speech LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

SUPREME SPEECH LLC

Practice address

177 Coles Way
Lakewood, NJ 08701-4885

Phone

(732) 367-4397

NPI assigned

Jun 22, 2018

Organization subpart

No

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

Authorized official

Name

Devorah Werther, SLP

Title

Owner

Phone

(917) 386-3666

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1529625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529625600000",
    "number": "1700371788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 COLES WAY",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014885",
            "telephone_number": "732-367-4397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 COLES WAY",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014885",
            "telephone_number": "732-367-4397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPREME SPEECH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-22",
        "last_updated": "2018-06-22",
        "status": "A",
        "authorized_official_last_name": "WERTHER",
        "authorized_official_first_name": "DEVORAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-386-3666",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.