NPIMap

Organization Active NPI

Clear Speech, LLC

  • Speech-Language Pathologist
  • Conyers, GA
National Provider Identifier
1952764326
Registry record updated Apr 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLP006266 Issued in GA
Legal business name
CLEAR SPEECH, LLC
Practice address
2395 Wall St SE Ste 190
Conyers, GA 30013-6703
Phone
(404) 202-8490
Fax
(770) 679-9344
NPI assigned
Apr 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2016

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

Authorized official

Name
Erica Renee Wilson, M ED. CCC-SLPNPI 1801890439
Title
Owner/Speech Language Pathologist
Phone
(404) 202-8490

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X SLP006266 GA Primary

Addresses

Primary practice location

2395 Wall St SE Ste 190
Conyers, GA 30013-6703

Mailing address

2395 Wall St SE Ste 190
Conyers, GA 30013-6703
Phone (404) 202-8490

National Provider Directory

National Provider Directory

Locations

2395 Wall St SE
Ste 190
Conyers, GA 30013
Phone (404) 202-8490

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1459468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459468800000",
    "number": "1952764326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2395 WALL ST SE STE 190",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300136703",
            "telephone_number": "404-202-8490",
            "fax_number": "770-679-9344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2395 WALL ST SE STE 190",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300136703",
            "telephone_number": "404-202-8490",
            "fax_number": "770-679-9344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR SPEECH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-01",
        "last_updated": "2016-04-01",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER/SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "404-202-8490",
        "authorized_official_credential": "M ED. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP006266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conyers, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.