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LEGACY THERAPY SOURCE
NPI 1871105577
Speech-Language Pathologist in Stockbridge, GA

Active since August 24, 2020
115 CHERRY HILL LN, STOCKBRIDGE, GA 30281(917) 848-1863 Get Directions Write a Review

NPPES record last updated: August 24, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Legacy Therapy Source NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEGACY THERAPY SOURCE (NPI 1871105577) is a healthcare organization registered as a speech-language pathologist in Stockbridge, Georgia and active in the NPI registry since August 2020. The organization lists Catherine Gomez, Owner, as its authorized official.

NPPES Registry Identity

NPI1871105577
Entity TypeOrganization
Primary Taxonomy235Z00000X
Legal Business NameLEGACY THERAPY SOURCE
Location Address115 CHERRY HILL LNStockbridge, GA 30281-7360
Mailing Address115 Cherry Hill LnStockbridge, GA 30281-7360 · (917) 848-1863
Phone(917) 848-1863
Organization SubpartNo
Authorized OfficialCatherine GomezOwner · (917) 848-1863
Enumeration DateAugust 24, 2020
NPPES CertifiedAugust 24, 2020
✔ NPI 1871105577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Definition
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.
115 CHERRY HILL LN, Stockbridge, GA 30281
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Legacy Therapy Source's NPI number?

The NPI number for Legacy Therapy Source is 1871105577. It was assigned to this organization in the NPPES registry on August 24, 2020.

Where is Legacy Therapy Source located?

Legacy Therapy Source is located at 115 Cherry Hill Ln, Stockbridge, GA 30281. The listed phone number is (917) 848-1863.

What is Legacy Therapy Source's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Legacy Therapy Source was last updated on August 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.