Professional Speech Therapists, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2270-154 Issued in WI

Legal business name

PROFESSIONAL SPEECH THERAPISTS, LLC

Practice address

2141 Eastridge Ctr
Eau Claire, WI 54701-3403

Phone

(715) 579-9242

NPI assigned

May 27, 2017

Last updated

Jul 21, 2022By 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

Erin Lynn Smith, MS, CCC-SLP

Title

Speech Language Pathologist

Phone

(715) 579-9242

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1495843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1831627330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2141 EASTRIDGE CTR",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547013403",
            "telephone_number": "715-579-9242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2141 EASTRIDGE CTR",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547013403",
            "telephone_number": "715-579-9242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL SPEECH THERAPISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-27",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "715-579-9242",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "2270-154",
            "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 21, 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.