Spokane Speech Language Pathology

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

LL00002854 Issued in WA

Legal business name

SPOKANE SPEECH LANGUAGE PATHOLOGY

Practice address

4407 N Division St
Suite 303
Spokane, WA 99207-1600

Phone

(509) 710-5084

NPI assigned

Apr 19, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Janet Marie Johnston, CCC-SLP

Title

Manager/Speech Language Pathologist

Phone

(509) 710-5084

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kathryn Lynn Main, CCC-SLP

  • Speech-Language Pathologist
  • Spokane, WA
  • NPI 1851635924
  NPD (past)

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

{
    "created_epoch": "1271635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271635200000",
    "number": "1831415645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4407 N DIVISION ST",
            "address_2": "SUITE 303",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992071600",
            "telephone_number": "509-710-5084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4407 N DIVISION ST",
            "address_2": "SUITE 303",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992071600",
            "telephone_number": "509-710-5084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPOKANE SPEECH LANGUAGE PATHOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-19",
        "last_updated": "2010-04-19",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MANAGER/SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "509-710-5084",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "LL00002854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8320574",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Spokane, WA
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2010; 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.