Premier Speech and Language LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

PREMIER SPEECH AND LANGUAGE LLC

Practice address

28 Roosevelt Ave
Lakewood, NJ 08701-5654

Phone

(732) 744-4800

NPI assigned

Jan 5, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Shifra Mehl, M.A. CCC-SLP

Title

Co-Owner and Director

Phone

(732) 744-4800

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1451952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451952000000",
    "number": "1861858979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 ROOSEVELT AVE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015654",
            "telephone_number": "732-744-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 ROOSEVELT AVE",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087015654",
            "telephone_number": "732-744-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER SPEECH AND LANGUAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-05",
        "last_updated": "2016-01-05",
        "status": "A",
        "authorized_official_last_name": "MEHL",
        "authorized_official_first_name": "SHIFRA",
        "authorized_official_title_or_position": "CO-OWNER AND DIRECTOR",
        "authorized_official_telephone_number": "732-744-4800",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.