Rainbow Speech Therapy LLC

Key facts

NPI

1962269209

Entity type

Organization (NPI type 2)

Primary specialty

Speech-Language Pathologist 235Z00000X

Legal business name

RAINBOW SPEECH THERAPY LLC

Practice address

116 Penny LN
Guyton, GA 31312-5416

Phone

(912) 247-4534

NPI assigned

Mar 4, 2024

Organization subpart

No

Authorized official

Name

Mrs. Sarah Crosby, ED.S. CCC-SLP

Title

Speech Language Pathologist

Phone

(912) 247-4534

Practitioners 1

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

• Sarah R Skidmore-Crosby, CCC-SLP Speech-Language Pathologist · Guyton, GA · NPI 1194097154
  NPD SPEECH-LANGUAGE PATHOLOGIST

National Provider Directory

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 4, 2024.

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1962269209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 PENNY LN",
            "city": "GUYTON",
            "state": "GA",
            "postal_code": "313125416",
            "telephone_number": "912-247-4534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 PENNY LN",
            "city": "GUYTON",
            "state": "GA",
            "postal_code": "313125416",
            "telephone_number": "912-247-4534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINBOW SPEECH THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A",
        "authorized_official_last_name": "CROSBY",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "912-247-4534",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ED.S. 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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All providers in Guyton, GA · Speech-Language Pathologist in Georgia