Speech Theraplay, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP006184 Issued in GA

Legal business name

SPEECH THERAPLAY, LLC

Practice address

2821 Main St W
Suite 6
Snellville, GA 30078-3149

Phone

(866) 770-7294

Fax

(866) 770-7294

NPI assigned

Mar 7, 2014

Last updated

Mar 1, 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

A Patin, M.S.,CCC-SLP

Title

Speech-Language Pathologist

Phone

(866) 770-7294

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Shyla Fenderson, M.A.CCC-SLP

  • Speech-Language Pathologist
  • Grayson, GA
  • NPI 1194266411
  NPD (past)

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

{
    "created_epoch": "1394150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488326400000",
    "number": "1851717300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2821 MAIN ST W",
            "address_2": "SUITE 6",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300783149",
            "telephone_number": "866-770-7294",
            "fax_number": "866-770-7294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 MAIN ST W",
            "address_2": "SUITE 6",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300783149",
            "telephone_number": "866-770-7294",
            "fax_number": "866-770-7294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH THERAPLAY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-07",
        "last_updated": "2017-03-01",
        "status": "A",
        "authorized_official_last_name": "PATIN",
        "authorized_official_first_name": "A",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "866-770-7294",
        "authorized_official_credential": "M.S.,CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP006184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Splash Staffing Network LLC
• Cassandra Janell Spragg, DMD
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• Zachary St.Cyr

• Speech-Language Pathologist in Snellville, GA
• Providers in Snellville, 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 Mar 1, 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.