Active NPI
Cathryn Emily Dean, M.ED.
- Speech-Language Pathologist
- Roswell, GA
National Provider Identifier
1972288454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- PCET003855
- Practice address
- 1160 Grimes Bridge Rd Ste B
Roswell, GA 30075-3900 - Phone
- (470) 423-9477
- NPI assigned
- Jun 21, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | PCET003855 | GA | Primary |
Addresses
Primary practice location
1160 Grimes Bridge Rd Ste B
Roswell, GA 30075-3900
Mailing address
1160 Grimes Bridge Rd Ste B
Roswell, GA 30075-3900
Phone (770) 539-0713
Other practice location 1
2151 Cedarcrest Rd
Acworth, GA 30101-6213
Phone (561) 801-3148
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PCET003855 | GA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Paulding Speech Language Therapy LLC | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Hearing and Speech Clinic/Center
- Cartersville, GA
- NPI 1982592754
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687996800000",
"number": "1972288454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1160 GRIMES BRIDGE RD STE B",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300753900",
"telephone_number": "770-539-0713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1160 GRIMES BRIDGE RD STE B",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300753900",
"telephone_number": "470-423-9477"
}
],
"practiceLocations": [
{
"address_1": "2151 Cedarcrest Rd",
"address_purpose": "LOCATION",
"city": "Acworth",
"state": "GA",
"postal_code": "301016213",
"country_code": "US",
"telephone_number": "561-801-3148",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEAN",
"first_name": "CATHRYN",
"middle_name": "EMILY",
"credential": "M.ED.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-06-21",
"last_updated": "2023-06-29",
"certification_date": "2023-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "PCET003855",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roswell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.