Pediatric Speech Pathology, Inc

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP1113 Issued in AR

Legal business name

PEDIATRIC SPEECH PATHOLOGY, INC

Practice address

9300 East County Line Road
Charleston, AR 72933

Phone

(479) 414-8349

Fax

(479) 965-0156

NPI assigned

Mar 3, 2011

Last updated

Mar 3, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Stephanie SharpNPI 1376685107

Title

Owner

Phone

(479) 414-8349

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephanie Sharp, SLP

  • Speech-Language Pathologist
  • Charleston, AR
  • NPI 1376685107
  NPD (past) Authorized official

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

{
    "created_epoch": "1299110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299110400000",
    "number": "1760780522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 148",
            "city": "CHARLESTON",
            "state": "AR",
            "postal_code": "729330148",
            "telephone_number": "479-414-8349",
            "fax_number": "479-965-0156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 EAST COUNTY LINE ROAD",
            "city": "CHARLESTON",
            "state": "AR",
            "postal_code": "72933",
            "telephone_number": "479-414-8349",
            "fax_number": "479-965-0156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC SPEECH PATHOLOGY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-03",
        "last_updated": "2011-03-03",
        "status": "A",
        "authorized_official_last_name": "SHARP",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-414-8349",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "SP1113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah McMillan, OTA
• Medisav Homecare Pharmacies Inc
• Medisav Homecare Pharmacies Inc (Medisav Pharmacy #1)
• Midline Matters
• Tammy L Myers, M.S. CCC SLP
• Stacy Reames, PTA
• Jason D Richey, MD
• Jennifer Nicole Rogers, APRN, FNP-C
• Brandie Rudd
• Carrie Danielle Salgado, CCC-SLP

• Speech-Language Pathologist in Charleston, AR
• Providers in Charleston, AR by specialty
• Speech-Language Pathologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2011; 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.