The Speech Therapy Group, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP006706 Issued in GA

Legal business name

THE SPEECH THERAPY GROUP, LLC

Practice address

1740 Hudson Bridge Rd
Ste: 1208
Stockbridge, GA 30281-6331

Phone

(404) 474-1627

NPI assigned

Jun 13, 2012

Organization subpart

No

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

Authorized official

Name

Miss Tamika Prendergast, M.S. CCC-SLP

Title

Director

Phone

(404) 474-1627

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1339545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339545600000",
    "number": "1720340912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 HUDSON BRIDGE RD",
            "address_2": "STE: 1208",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302816331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 HUDSON BRIDGE RD",
            "address_2": "STE: 1208",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302816331",
            "telephone_number": "404-474-1627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SPEECH THERAPY GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-13",
        "last_updated": "2012-06-13",
        "status": "A",
        "authorized_official_last_name": "PRENDERGAST",
        "authorized_official_first_name": "TAMIKA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "404-474-1627",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "M.S. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP006706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.