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1043197460 NPI number — PLAYFUL PATHS SPEECH THERAPY, LLC

NPI Number: 1043197460
Health Care Provider/Practitioner: PLAYFUL PATHS SPEECH THERAPY, LLC

Information about “1043197460” NPI (PLAYFUL PATHS SPEECH THERAPY, LLC) exists in 1043197460 in HTML format HTML  |  1043197460 in plain Text format TXT  |  1043197460 in PDF (Portable Document Format) PDF  |  1043197460 in an XML format XML  formats.

NPI Number : 1043197460 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1043197460",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "PLAYFUL PATHS SPEECH THERAPY, LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "8295 28TH AVE N # 4112017",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAINT PETERSBURG",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33710-2811",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "407-718-7412",
    "MailingAddressFaxNumber": "888-830-5744",
    "FirstLinePracticeLocationAddress": "8295 28TH AVE N # 4112017",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAINT PETERSBURG",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33710-2811",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "407-718-7412",
    "PracticeLocationAddressFaxNumber": "888-830-5744",
    "EnumerationDate": "08/18/2025",
    "LastUpdateDate": "08/26/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BUTLAND",
    "AuthorizedOfficialFirstName": "LAUREN",
    "AuthorizedOfficialMiddleName": "ASHLEY",
    "AuthorizedOfficialTitle": "SPEECH-LANGUAGE PATHOLOGIST, OWENR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MA, CCC-SLP",
    "AuthorizedOfficialTelephoneNumber": "407-718-7412",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "252Y00000X",
          "TaxonomyName": "Early Intervention Provider Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "235Z00000X",
          "TaxonomyName": "Speech-Language Pathologist",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
      }
    }
  }
}
                
            

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