Clermont Speech and Language Therapy Center, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA8508 Issued in FL

Legal business name

CLERMONT SPEECH AND LANGUAGE THERAPY CENTER, LLC

Practice address

450 E Hwy 50
Suite 8C
Clermont, FL 34711-2581

Phone

(352) 432-3960

NPI assigned

Jan 19, 2017

Last updated

Jan 19, 2017By 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. Patrick White, M.S.,CCC-SLPNPI 1154609709

Title

Director

Phone

(352) 432-3960

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Patrick Clive White, M.S.,CCC-SLP

  • Speech-Language Pathologist
  • Clermont, FL
  • NPI 1154609709
  NPD (past) Authorized official
• Nancy Marie Boily

  • Speech-Language Pathologist
  • Ocala, FL
  • NPI 1326846908
  NPD (past)

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

{
    "created_epoch": "1484784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484784000000",
    "number": "1831635556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3574 WIND RIVER RUN",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347118970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 E HWY 50",
            "address_2": "SUITE 8C",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347112581",
            "telephone_number": "352-432-3960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLERMONT SPEECH AND LANGUAGE THERAPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-19",
        "last_updated": "2017-01-19",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "352-432-3960",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S.,CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA8508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013474400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Clermont, FL
• Providers in Clermont, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2017; 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.