SPEECH THERAPY ET AL LLC NPI 1245712108

NPI Information

  • NPI: 1245712108
  • Provider Name: SPEECH THERAPY ET AL LLC
  • Classification: Speech-Language Pathologist - 235Z00000X
  • Entity Type: Organization
  • Address: 1530 PENNSYLVANIA AVE
    MCDONOUGH, GA
    ZIP 30253
  • Phone: (770) 898-3495

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NPI Details

SPEECH THERAPY ET AL LLC is a speech language pathologist in Mcdonough, GA. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. SPEECH THERAPY ET AL LLC NPI is 1245712108. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1530 PENNSYLVANIA AVE
MCDONOUGH, GA
ZIP 30253
Phone: (770) 898-3495
Fax: (770) 898-3496

The provider's authorized official is Bibian Johnson .
The authorized official title is Owner and has the following contact phone number (770) 898-3495.

The enumeration date for this NPI number is 9/6/2018 and was last updated on 9/7/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1231H00000XAudiologistAUD003765GEORGIANo
22355S0801XSpecialist/TechnologistSpeech-Language AssistantNo
3237600000XAudiologist-Hearing Aid FitterAUD003765GEORGIANo
4235Z00000XSpeech-Language PathologistSLP001995GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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