Organization Active NPI

Chesapeake Speech Therapy Services, LLC

  • Speech-Language Pathologist
  • Chestertown, MD
National Provider Identifier
1710187174
Registry record updated Jul 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
CHESAPEAKE SPEECH THERAPY SERVICES, LLC
Practice address
201 Talbot Blvd
Chestertown, MD 21620-3000
Phone
(410) 708-2869
Fax
(410) 778-1448
NPI assigned
Jul 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2007

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

Authorized official

Name
Annette Marie Walls, M.S., CCC-SLP
Title
Speech Language Pathologist
Phone
(410) 708-2869

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

201 Talbot Blvd
Chestertown, MD 21620-3000

Mailing address

201 Talbot Blvd
Chestertown, MD 21620-3000
Phone (410) 708-2869

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185148800000",
    "number": "1710187174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 TALBOT BLVD",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216203000",
            "telephone_number": "410-708-2869",
            "fax_number": "410-778-1448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 TALBOT BLVD",
            "city": "CHESTERTOWN",
            "state": "MD",
            "postal_code": "216203000",
            "telephone_number": "410-708-2869",
            "fax_number": "410-778-1448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESAPEAKE SPEECH THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-23",
        "last_updated": "2007-07-23",
        "status": "A",
        "authorized_official_last_name": "WALLS",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "410-708-2869",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chestertown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2007; 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.