Clearway Speech and Language Center

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

103714 Issued in TX

Legal business name

CLEARWAY SPEECH AND LANGUAGE CENTER

Practice address

12 Cheltenham Way
Dallas, TX 75230-1960

Phone

(301) 807-5679

NPI assigned

Dec 7, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Kristin Joidian Uzoh, M.A., CCC-SLP

Title

Speech-Language Pathologist

Phone

(214) 646-3554

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1481068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631232000000",
    "number": "1750825915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 CHELTENHAM WAY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752301960",
            "telephone_number": "301-807-5679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 CHELTENHAM WAY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752301960",
            "telephone_number": "301-807-5679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARWAY SPEECH AND LANGUAGE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-07",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A",
        "authorized_official_last_name": "UZOH",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "JOIDIAN",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "214-646-3554",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "103714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "theranest.com",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "address_1": "12 Cheltenham Way",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752301960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Speech-Language Pathologist in Dallas, TX
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; 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.