Provider Type Icon

SOUTH METRO THERAPY SERVICES LLC NPI 1639359169


NPI Information

NPI: 1639359169
Provider Name: SOUTH METRO THERAPY SERVICES LLC

Other Name: BRIAN RICHBERG

Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Organization
Address:
3097 DAWSON LN SW
ATLANTA, GA
ZIP 30331
Phone: (678) 793-5963
Get Directions

SOUTH METRO THERAPY SERVICES LLC is a speech language pathologist in Atlanta, 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. SOUTH METRO THERAPY SERVICES LLC NPI is 1639359169. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Brian Richberg.

The provider's business location address is:

3097 DAWSON LN SW
ATLANTA, GA
ZIP 30331-473
Phone: (678) 793-5963
Fax: (949) 955-7203

The provider's authorized official is Brian C Richberg .
The authorized official title is Speech Language Pathologist and has the following contact phone number (678) 793-9563.

The enumeration date for this NPI number is 11/13/2007 and was last updated on 1/5/2012.


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
1235Z00000XSpeech-Language PathologistSLP005324GEORGIAYes

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
1202G157521MEDICARE PINGEORGIA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.