Dreamcatcher Speech and Language LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

S2354 Issued in MS

Legal business name

DREAMCATCHER SPEECH AND LANGUAGE LLC

Practice address

146 Yocona Ridge Rd
Oxford, MS 38655-6904

Phone

(662) 934-9885

NPI assigned

Nov 10, 2014

Organization subpart

No

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

Authorized official

Name

Andrea Carol Staten, M.S., CCC-SLPNPI 1497154355

Title

Speech Language Pathologist

Phone

(662) 934-9885

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.

• Andrea Carol Staten, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Oxford, MS
  • NPI 1497154355
  NPD (past) Authorized official

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

{
    "created_epoch": "1415577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415577600000",
    "number": "1780080341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 YOCONA RIDGE RD",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386556904",
            "telephone_number": "662-934-9885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 YOCONA RIDGE RD",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386556904",
            "telephone_number": "662-934-9885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREAMCATCHER SPEECH AND LANGUAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-10",
        "last_updated": "2014-11-10",
        "status": "A",
        "authorized_official_last_name": "STATEN",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "CAROL",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "662-934-9885",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "S2354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina J Dow, M.S.
• Jewell D Downey, MA, BA, BSW
• Nyaisha Doyle, BSW, MSW
• Shavonne Bridgette Doyle, NP
• Dr Allen Ligon Oral&Maxillofacial Surgery, PLLC
• Laurie E. Drew, DPT
• Chester Allen Drewrey Jr., OT
• Deanna G. Driss, MS, RDN, LDN
• Shaquita Dunn, BSW
• Jeffrey M Dunnigan, M.S. PCMHT

• Speech-Language Pathologist in Oxford, MS
• Providers in Oxford, MS by specialty
• Speech-Language Pathologist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2014; 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.