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1174973085 NPI number — SPEAK2METHERAPY

NPI Number: 1174973085
Health Care Provider/Practitioner: SPEAK2METHERAPY

Information about “1174973085” NPI (SPEAK2METHERAPY) exists in 1174973085 in HTML format HTML  |  1174973085 in plain Text format TXT  |  1174973085 in PDF (Portable Document Format) PDF  |  1174973085 in an XML format XML  formats.

NPI Number : 1174973085 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1174973085",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "SPEAK2METHERAPY",
    "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": "5011 TOWER VIEW TRL",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SNELLVILLE",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30039-6535",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "919-656-1356",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "5011 TOWER VIEW TRL",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SNELLVILLE",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30039-6535",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "919-656-1356",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/21/2016",
    "LastUpdateDate": "06/21/2016",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "HUNTER-JAMES",
    "AuthorizedOfficialFirstName": "AYATTA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "SPEECH LANGUAGE PATHOLOGIST",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "M.ED.,CCC-SLP",
    "AuthorizedOfficialTelephoneNumber": "919-656-1356",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "235Z00000X",
        "TaxonomyName": "Speech-Language Pathologist",
        "LicenseNumber": "SLP005654",
        "LicenseNumberStateCode": "GA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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