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SOVEREIGN THERAPY CENTER LLC NPI 1730619263


NPI Information

NPI: 1730619263
Provider Name: SOVEREIGN THERAPY CENTER, LLC
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Organization
Address:
3867 HOLCOMB BRIDGE RD STE 400
PEACHTREE CORNERS, GA
ZIP 30092
Phone: (678) 421-4351
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SOVEREIGN THERAPY CENTER, LLC is a speech language pathologist in Peachtree Corners, 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. SOVEREIGN THERAPY CENTER, LLC NPI is 1730619263. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3867 HOLCOMB BRIDGE RD STE 400
PEACHTREE CORNERS, GA
ZIP 30092-232
Phone: (678) 421-4351

The provider's authorized official is April A Mcrae .
The authorized official title is Speech Language Pathologist/ceo and has the following contact phone number (678) 421-4351.

The enumeration date for this NPI number is 6/18/2017 and was last updated on 8/13/2017.


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
1225X00000XOccupational TherapistGEORGIANo
2235Z00000XSpeech-Language PathologistSLP006498GEORGIANo
3103TC2200XPsychologistClinical Child & AdolescentGEORGIANo
42081P0010XPhysical Medicine & RehabilitationPediatric Rehabilitation MedicineGEORGIANo
5222Q00000XDevelopmental TherapistGEORGIANo
6235Z00000XSpeech-Language PathologistGEORGIAYes

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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