Organization Active NPI

Chatterbox Speech and Language Clinic

  • Speech-Language Pathologist
  • Atlanta, GA
National Provider Identifier
1740639236
Registry record updated Jun 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP005787 Issued in GA
Legal business name
CHATTERBOX SPEECH AND LANGUAGE CLINIC
Practice address
4651 Roswell Rd
Suite E-404
Atlanta, GA 30342-3048
Phone
(404) 518-5000
Fax
(855) 417-9070
NPI assigned
Jun 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2016

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

Authorized official

Name
Miss Mary Elizabeth Ducey, MS CCC-SLP
Title
Founder/Speech-Language Pathologist
Phone
(404) 518-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X SLP005787 GA Primary

Addresses

Primary practice location

4651 Roswell Rd
Suite E-404
Atlanta, GA 30342-3048

Mailing address

4651 Roswell Rd
Suite E-404
Atlanta, GA 30342-3048
Phone (404) 518-5000

Other identifiers 1

IdentifierTypeStateIssuer
502161594CMedicaidGA

National Provider Directory

National Provider Directory

Locations

4651 Roswell Rd
Ste E404
Sandy Springs, GA 30342
Phone (404) 518-5000

NPI Registry JSON

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

{
    "created_epoch": "1465171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465171200000",
    "number": "1740639236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4651 ROSWELL RD",
            "address_2": "SUITE E-404",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303423048",
            "telephone_number": "404-518-5000",
            "fax_number": "855-417-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4651 ROSWELL RD",
            "address_2": "SUITE E-404",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303423048",
            "telephone_number": "404-518-5000",
            "fax_number": "855-417-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHATTERBOX SPEECH AND LANGUAGE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-06",
        "last_updated": "2016-06-06",
        "status": "A",
        "authorized_official_last_name": "DUCEY",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "FOUNDER/SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "404-518-5000",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MS CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP005787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "502161594C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; 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.