Willow Speech Therapy

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

WILLOW SPEECH THERAPY

Practice address

1467 Olive Hill Ave NW
Concord, NC 28027-3606

Phone

(716) 860-4155

NPI assigned

May 14, 2024

Organization subpart

No

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

Authorized official

Name

Erin DsouzaNPI 1548523863

Title

Speech-Language Pathologist

Phone

(716) 860-4155

Specialties & licenses 1

Addresses

Practitioners 1

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

• Erin Louise Dsouza

  • Speech-Language Pathologist
  • Concord, NC
  • NPI 1548523863
  NPD Authorized official

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

{
    "created_epoch": "1715644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715644800000",
    "number": "1841049673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1467 OLIVE HILL AVE NW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280273606",
            "telephone_number": "716-860-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1467 OLIVE HILL AVE NW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280273606",
            "telephone_number": "716-860-4155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW SPEECH THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-14",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A",
        "authorized_official_last_name": "DSOUZA",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "716-860-4155"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ondrea Williams, LPN
• Peter Williams, MS, LPCA
• Richard Franklin Williams, MD
• Kimberly Williamson
• Julian David Willoughby, MD
• Adrianna Celeste Wilson, LCAS
• Alexis Wilson
• Amanda Shew Wilson, RN
• Angela Cole Wilson, ANP-BC, PMHNP-BC
• Jeremy Gordon Wilson

• Speech-Language Pathologist in Concord, NC
• Providers in Concord, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; 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.