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SPEECH SOUNDS LLC NPI 1558862748


NPI Information

NPI: 1558862748
Provider Name: SPEECH SOUNDS, LLC
Classification: Clinic/Center - 261QH0700X
Entity Type: Organization

Specialization: Hearing and Speech

Address:
1459 FENWICK DR SW
MARIETTA, GA
ZIP 30064
Phone: (678) 471-5734
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SPEECH SOUNDS, LLC is a hearing and speech clinic center in Marietta, GA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability. SPEECH SOUNDS, LLC NPI is 1558862748. The provider is registered as an organization entity type.

The provider's business location address is:

1459 FENWICK DR SW
MARIETTA, GA
ZIP 30064-783
Phone: (678) 471-5734

The provider's authorized official is Roger A Cleckley .
The authorized official title is Speech Pathologist and has the following contact phone number (678) 471-5734.

The enumeration date for this NPI number is 2/23/2018 and was last updated on 2/23/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QH0700XClinic/CenterHearing and SpeechGEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1003201399AMEDICAIDGEORGIA

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: 4/28/2024

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