SPEECH THERAPY ET AL LLC
NPI 1245712108
Speech-Language Pathologist in Mcdonough, GA

Active since September 06, 2018
1530 PENNSYLVANIA AVE, MCDONOUGH, GA 30253(770) 898-3495(770) 898-3496 Get Directions Write a Review

NPPES record last updated: September 7, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Speech-Language Pathologist

About SPEECH THERAPY ET AL LLC

This page provides the complete NPI Profile along with additional information for Speech Therapy Et Al Llc, a provider established in Mcdonough, Georgia operating as a Speech-language Pathologist. The healthcare provider is registered in the NPI registry with number 1245712108 assigned on September 2018. The practitioner's primary taxonomy code is 235Z00000X with license number SLP001995 (GA). The provider is registered as an organization and their NPI record was last updated 8 years ago. Speech Therapy Et Al Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Bibian Johnson Slp (Owner)

NPI
1245712108 Verify this NPI
Provider Name
SPEECH THERAPY ET AL LLC
Entity Type
Organization
Location Address
1530 PENNSYLVANIA AVE MCDONOUGH, GA 30253
Location Phone
(770) 898-3495
Location Fax
(770) 898-3496
Mailing Address
PO BOX 2155 MCDONOUGH, GA 30253
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-06-2018
Last Update Date
09-07-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Speech-Language Pathologist

Taxonomy Code
235Z00000X
Type
Speech, Language and Hearing Service Providers
License No.
SLP001995
License State
GA
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1231H00000XSpeech, Language and Hearing Service Providers

Audiologist

AUD003765 (GA)
22355S0801XSpeech, Language and Hearing Service Providers

Specialist/Technologist
Speech-Language Assistant

 
3237600000XSpeech, Language and Hearing Service Providers

Audiologist-Hearing Aid Fitter

AUD003765 (GA)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

BIBIAN JOHNSON SLP

Authorized Official Title
OWNER
Authorized Official Phone
(770) 898-3495

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Speech-Language Pathologist
1530 PENNSYLVANIA AVE
MCDONOUGH, GA 30253
Speech-Language Pathologist
1530 PENNSYLVANIA AVE
MCDONOUGH, GA 30253

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245712108, enumerated as an "organization" on September 06, 2018.

The provider is located at 1530 PENNSYLVANIA AVE MCDONOUGH, GA 30253 and the phone number is (770) 898-3495.

Speech-Language Pathologist with taxonomy code 235Z00000X.