Laurel Speech, Language and Hearing Ctr

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

34S0303 Issued in MS

Legal business name

LAUREL SPEECH, LANGUAGE AND HEARING CTR

Practice address

Kampers Alley #3
Laurel, MS 39440

Phone

(601) 426-6116

Fax

(601) 425-5829

NPI assigned

Oct 10, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Anita C. Thames, CCC-SLPNPI 1255503025

Title

Speech/Language Pathologist

Phone

(601) 426-6116

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.

• Anita Thames, MS CCC SLP

  • Speech-Language Pathologist
  • Laurel, MS
  • NPI 1255503025
  NPD (past) Authorized official

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700974227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2694",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394422694",
            "telephone_number": "601-426-6116",
            "fax_number": "601-425-5829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "KAMPERS ALLEY #3",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "39440",
            "telephone_number": "601-426-6116",
            "fax_number": "601-425-5829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL SPEECH, LANGUAGE AND HEARING CTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THAMES",
        "authorized_official_first_name": "ANITA",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "SPEECH/LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "601-426-6116",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "34S0303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0901712",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Laurel, MS
• Providers in Laurel, MS by specialty
• Speech-Language Pathologist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.