Progression Speech Therapy

Primary specialty

Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X

License

SA12440 Issued in FL

Legal business name

PROGRESSION SPEECH THERAPY

Practice address

8010 Birman St
Maitland, FL 32751-8630

Phone

(315) 729-9542

NPI assigned

Nov 13, 2017

Organization subpart

No

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

Authorized official

Name

Evan D Sherman, MS CCC-SLP

Title

Speech Language Pathologist

Phone

(315) 729-9542

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1510531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593648000000",
    "number": "1962915025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8010 BIRMAN ST",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327518630",
            "telephone_number": "315-729-9542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8010 BIRMAN ST",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327518630",
            "telephone_number": "315-729-9542"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "779 Sandy Hill Cir",
            "address_purpose": "LOCATION",
            "city": "Port Orange",
            "state": "FL",
            "postal_code": "321277795",
            "country_code": "US",
            "telephone_number": "315-729-9542",
            "fax_number": "315-729-9542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PROGRESSION SPEECH THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-13",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A",
        "authorized_official_last_name": "SHERMAN",
        "authorized_official_first_name": "EVAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "315-729-9542",
        "authorized_official_credential": "MS CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "FL",
            "license": "SA12440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hearing and Speech Clinic/Center in Maitland, FL
• Providers in Maitland, FL by specialty
• Hearing and Speech Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2020; 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.