Seaside Speech, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

SEASIDE SPEECH, LLC

Practice address

2401 Country Oaks LN
West Palm Beach, FL 33410-2009

Phone

(561) 282-1136

NPI assigned

May 27, 2020

Organization subpart

No

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

Authorized official

Name

Danielle Laskey Wallace, MS, CCC-SLPNPI 1053712661

Title

Owner / Speech-Language Pathologist

Phone

(561) 282-1136

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

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

• Danielle Laskey Wallace, MS, CCC-SLP

  • Speech-Language Pathologist
  • West Palm Beach, FL
  • NPI 1053712661
  NPD Authorized official

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

{
    "created_epoch": "1590537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590537600000",
    "number": "1710500665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 COUNTRY OAKS LN",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334102009",
            "telephone_number": "561-282-1136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 COUNTRY OAKS LN",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334102009",
            "telephone_number": "561-282-1136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASIDE SPEECH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-27",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "LASKEY",
        "authorized_official_title_or_position": "OWNER / SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "561-282-1136",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "danielle@seasidespeech.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2401 Country Oaks Ln",
            "city": "West Palm Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334102009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Speech-Language Pathologist in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.