Atlanta Speech Pathology, LLC.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP008175 Issued in GA

Legal business name

ATLANTA SPEECH PATHOLOGY, LLC.

Practice address

241 W Wieuca Rd NE
Ste. 120
Atlanta, GA 30342-3367

Phone

(470) 258-2058

Fax

(404) 601-5442

NPI assigned

Nov 20, 2015

Organization subpart

No

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

Authorized official

Name

Jessica Williams, M.ED, CCC-SLPNPI 1487956470

Title

Speech-Language Pathologist

Phone

(470) 258-2058

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.

• Jessica Williams, CCC-SLP

  • Speech-Language Pathologist
  • Atlanta, GA
  • NPI 1487956470
  NPD (past) Authorized official

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

{
    "created_epoch": "1447977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453852800000",
    "number": "1841664372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 W WIEUCA RD NE",
            "address_2": "STE. 120",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303423367",
            "fax_number": "404-601-5442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 W WIEUCA RD NE",
            "address_2": "STE. 120",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303423367",
            "telephone_number": "470-258-2058",
            "fax_number": "404-601-5442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA SPEECH PATHOLOGY, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-20",
        "last_updated": "2016-01-27",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "470-258-2058",
        "authorized_official_credential": "M.ED, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP008175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.