Beck Speech Clinic

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

17666 Issued in TX

Legal business name

BECK SPEECH CLINIC

Practice address

3610 Smith Barry Rd Ste 101
Pantego, TX 76013-4633

Phone

(817) 915-0901

Fax

(817) 795-0085

NPI assigned

Apr 7, 2017

Organization subpart

No

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

Authorized official

Name

Laura Overton, M.A., CCC-SLP, BCS-F

Title

Speech Language Pathologist

Phone

(817) 915-0901

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1491523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491523200000",
    "number": "1902339708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3610 SMITH BARRY RD STE 101",
            "city": "PANTEGO",
            "state": "TX",
            "postal_code": "760134633",
            "telephone_number": "817-915-0901",
            "fax_number": "817-795-0085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 SMITH BARRY RD STE 101",
            "city": "PANTEGO",
            "state": "TX",
            "postal_code": "760134633",
            "telephone_number": "817-915-0901",
            "fax_number": "817-795-0085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BECK SPEECH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-07",
        "last_updated": "2017-04-07",
        "status": "A",
        "authorized_official_last_name": "OVERTON",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "817-915-0901",
        "authorized_official_credential": "M.A., CCC-SLP, BCS-F"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "17666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Pantego, TX
• Providers in Pantego, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.