Georgia Speech Pathology, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP004945 Issued in GA

Legal business name

GEORGIA SPEECH PATHOLOGY, LLC

Practice address

1616 Piedmont Ave NE
Apt. P12
Atlanta, GA 30324-5298

Phone

(570) 506-5421

NPI assigned

May 6, 2016

Last updated

May 6, 2016By 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

Mr. George Michael Tramontana, M.S., CCC-SLP

Title

Owner

Phone

(570) 506-5421

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1462492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462492800000",
    "number": "1821444043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 PIEDMONT AVE NE",
            "address_2": "APT. P12",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303245298",
            "telephone_number": "570-506-5421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 PIEDMONT AVE NE",
            "address_2": "APT. P12",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303245298",
            "telephone_number": "570-506-5421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA SPEECH PATHOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-06",
        "last_updated": "2016-05-06",
        "status": "A",
        "authorized_official_last_name": "TRAMONTANA",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-506-5421",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP004945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Atlanta, GA
• Providers in Atlanta, 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 May 6, 2016; 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.