Active NPI
Speech Pathology Services, Inc,
- Clinic/Center
- Atlanta, GA
National Provider Identifier
1861632879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- SLP000637
- Legal business name
- SPEECH PATHOLOGY SERVICES, INC,
- Practice address
- 750 Hammond Dr NE
Building 4, Suite 100
Atlanta, GA 30328-5532 - Phone
- (404) 459-9192
- Fax
- (678) 904-6347
- NPI assigned
- Mar 3, 2009
- Last updated
- Mar 3, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Minda Cohen, M.ED., CCC-SLP
- Title
- President/Speech-Language Pathologi
- Phone
- (404) 459-9192
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | SLP000637 | GA | Primary |
Addresses
Primary practice location
750 Hammond Dr NE
Building 4, Suite 100
Atlanta, GA 30328-5532
Mailing address
750 Hammond Dr NE
Building 4, Suite 100
Atlanta, GA 30328-5532
Phone (404) 459-9192
National Provider Directory
National Provider DirectoryLocations
750 Hammond Dr
Bldg 4
Sandy Springs, GA 30328
Phone (404) 459-9192
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236038400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1236038400000",
"number": "1861632879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 HAMMOND DR NE",
"address_2": "BUILDING 4, SUITE 100",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303285532",
"telephone_number": "404-459-9192",
"fax_number": "678-904-6347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 HAMMOND DR NE",
"address_2": "BUILDING 4, SUITE 100",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303285532",
"telephone_number": "404-459-9192",
"fax_number": "678-904-6347"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPEECH PATHOLOGY SERVICES, INC,",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-03",
"last_updated": "2009-03-03",
"status": "A",
"authorized_official_last_name": "COHEN",
"authorized_official_first_name": "MINDA",
"authorized_official_title_or_position": "PRESIDENT/SPEECH-LANGUAGE PATHOLOGI",
"authorized_official_telephone_number": "404-459-9192",
"authorized_official_credential": "M.ED., CCC-SLP"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "GA",
"license": "SLP000637",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.