Speechworks 4 Kids, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP005082 Issued in GA

Legal business name

SPEECHWORKS 4 KIDS, LLC

Practice address

215 Crescent Dr
Forsyth, GA 31029

Phone

(478) 213-4604

Fax

(478) 993-2035

NPI assigned

Feb 11, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Shannon Gonzalez, M.A., CCC-SLPNPI 1336266261

Title

SLP/Ceo Speechworks 4 Kids, LLC

Phone

(478) 213-4604

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.

• Shannon Susanne Gonzalez, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Forsyth, GA
  • NPI 1336266261
  NPD Authorized official

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

{
    "created_epoch": "1423612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664928000000",
    "number": "1790176865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 CRESCENT DR",
            "city": "FORSYTH",
            "state": "GA",
            "postal_code": "310295466",
            "telephone_number": "478-213-4604",
            "fax_number": "478-993-2035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 CRESCENT DR",
            "city": "FORSYTH",
            "state": "GA",
            "postal_code": "31029",
            "telephone_number": "478-213-4604",
            "fax_number": "478-993-2035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 Crescent Dr",
            "address_purpose": "LOCATION",
            "city": "Forsyth",
            "state": "GA",
            "postal_code": "31029",
            "country_code": "US",
            "telephone_number": "478-213-4604",
            "fax_number": "478-993-2035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SPEECHWORKS 4 KIDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-11",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "SLP/CEO SPEECHWORKS 4 KIDS, LLC",
        "authorized_official_telephone_number": "478-213-4604",
        "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": "GA",
            "license": "SLP005082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Forsyth, GA
• Providers in Forsyth, 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 Oct 5, 2022; 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.