NPIMap

Organization Active NPI

Providence Speech & Language Services LLC

  • Speech-Language Pathologist
  • Northport, AL
National Provider Identifier
1841644812
Registry record updated Apr 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3366 Issued in AL
Legal business name
PROVIDENCE SPEECH & LANGUAGE SERVICES LLC
Practice address
3630 Northbrook Dr
Suite D
Northport, AL 35473-5822
Phone
(205) 246-9345
NPI assigned
Apr 15, 2016
Last updated
Apr 15, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2016

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

Authorized official

Name
Mrs. Lesley S. Selman, M.S., CCC-SLPNPI 1285009860
Title
President
Phone
(205) 246-9345

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 3366 AL Primary

Addresses

Primary practice location

3630 Northbrook Dr
Suite D
Northport, AL 35473-5822

Mailing address

3630 Northbrook Dr
Suite D
Northport, AL 35473-5822
Phone (205) 246-9345

National Provider Directory

National Provider Directory

Locations

3630 Northbrook Dr
Ste D
Northport, AL 35473
Phone (205) 246-9345

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1460678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460678400000",
    "number": "1841644812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3630 NORTHBROOK DR",
            "address_2": "SUITE D",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354735822",
            "telephone_number": "205-246-9345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3630 NORTHBROOK DR",
            "address_2": "SUITE D",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354735822",
            "telephone_number": "205-246-9345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE SPEECH & LANGUAGE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-15",
        "last_updated": "2016-04-15",
        "status": "A",
        "authorized_official_last_name": "SELMAN",
        "authorized_official_first_name": "LESLEY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-246-9345",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AL",
            "license": "3366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northport, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.