Speakeasy Services Inc

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA6834 Issued in FL

Legal business name

SPEAKEASY SERVICES INC

Practice address

232 SE 31St St
Cape Coral, FL 33904-3471

Phone

(239) 699-0781

NPI assigned

Jul 11, 2013

Organization subpart

No

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

Authorized official

Name

Shauna A Conway, MS, CCC-SLP

Title

President/Owner

Phone

(239) 699-0781

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1373500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373500800000",
    "number": "1801237490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 SE 31ST ST",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339043471",
            "telephone_number": "239-699-0781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 SE 31ST ST",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339043471",
            "telephone_number": "239-699-0781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEAKEASY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-11",
        "last_updated": "2013-07-11",
        "status": "A",
        "authorized_official_last_name": "CONWAY",
        "authorized_official_first_name": "SHAUNA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "239-699-0781",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA6834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2013; 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.