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MJPUGH LLC NPI 1629625595


NPI Information

NPI: 1629625595
Provider Name: MJPUGH, LLC
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Organization
Address:
310 BAY GROVE RD
LOGANVILLE, GA
ZIP 30052
Phone: (901) 833-1385
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MJPUGH, LLC is a speech language pathologist in Loganville, 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. MJPUGH, LLC NPI is 1629625595. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

310 BAY GROVE RD
LOGANVILLE, GA
ZIP 30052-619
Phone: (901) 833-1385

The provider's authorized official is Jimond M Pugh .
The authorized official title is Owner and has the following contact phone number (901) 833-1385.

The enumeration date for this NPI number is 8/24/2019 and was last updated on 8/24/2019.


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
1103K00000XBehavior AnalystNo
2225100000XPhysical TherapistNo
3225X00000XOccupational TherapistNo
4235Z00000XSpeech-Language PathologistYes

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: 5/5/2024

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