MMG SPEECH & THERAPEUTIC SERVICES, LLC (NPI# 1679940886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679940886 |
| Entity Type | Organization |
| Organization Name | MMG SPEECH & THERAPEUTIC SERVICES, LLC |
| Practice Address |
9881 Bridgeport Way Sw Lakewood WA 98499-6124 |
| Practice Telephone | 2537534008 |
| Practice Fax Number | 2532760067 |
| Mailing Telephone | 2537534008 |
| Mailing Fax Number | 2532760067 |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2019-12-20 |
| Authorized Official Name | MICHELE GREGG (SPEECH-LANGUAGE PATHOLOGIST, OWNER) |
| Authorized Official Telephone | 2537534008 |
| Authorized Official Credential | M.S., CCC-SLP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| Y | 235Z00000X | Speech-Language Pathologist | 603379234 | WA | Speech, Language and Hearing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8907 Gravelly Lake Dr Sw, Suite B, Lakewood, WA 984993152 | 2537534008 | 2532760067 |
| Street Address |
9881 BRIDGEPORT WAY SW |
| City | LAKEWOOD |
| State | WA |
| Zip Code | 98499-6124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922043207 | Julianne Mcewen | Counselor | 9881 Bridgeport Way Sw, Suite B, Lakewood, WA 98499-6124 | 2006-06-19 |
| 1083244222 | Melanie Penn Griffith | Speech-Language Pathologist | 9881 Bridgeport Way Sw, Lakewood, WA 98499-6124 | 2020-01-15 |
| 1467836635 | Jaclyn Liana Bendroff | Specialist/Technologist | 9881 Bridgeport Way Sw, Lakewood, WA 98499-2805 | 2015-07-16 |
| 1215351515 | Jamie Lynn Elizabeth Hethcock | Occupational Therapy Assistant | 9881 Bridgeport Way Sw, Lakewood, WA 98499-2805 | 2014-02-07 |
| 1932342607 | Arthur J Wienandt | Marriage & Family Therapist | 9881 Bridgeport Way Sw, Suite B, Lakewood, WA 98499-6124 | 2009-04-10 |
| 1174551683 | Thomas Dale Hopper | Marriage & Family Therapist | 9881 Bridgeport Way Sw, Lakewood, WA 98499-6124 | 2006-06-30 |
| 1750310165 | Kimberly Wynne Braswell | Marriage & Family Therapist | 9881 Bridgeport Way Sw, Suite B, Lakewood, WA 98499-6124 | 2006-06-30 |
| 1871521740 | Lori Ann Beaver | Counselor | 9881 Bridgeport Way Sw, Suite B, Lakewood, WA 98499-6124 | 2006-06-29 |
| 1487680963 | Barbara Parks | Social Worker | 9881 Bridgeport Way Sw, Suite B, Lakewood, WA 98499-6124 | 2006-06-24 |
| 1619913084 | John Lewis Casteele Jr. | Counselor | 9881 Bridgeport Way Sw, Suite B, Lakewood, WA 98499-6124 | 2006-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275159592 | Sea Mar Community Health Centers | Clinic/Center | 5700 100th Street Se, Suite 510, Lakewood, WA 98499 | 2020-06-23 |
| 1568018828 | Heather Leigh Andrade | Behavioral Analyst | 6210 75th St W Ste 100, Lakewood, WA 98499 | 2019-08-13 |
| 1043870876 | Seoul Chinese Herbs Inc | Acupuncturist | 8705 S. Tacoma Way, Lakewood, WA 98499 | 2019-06-14 |
| 1013572064 | Puget Sound Kidney Centers | Clinic/Center | 11950 47th Ave Sw, Lakewood, WA 98499 | 2019-05-06 |
| 1447736657 | Marcela Cunan | Counselor | 9330 59th Avenue Southest, Lakewood, WA 98499 | 2018-07-11 |
| 1609382381 | Leroy Moore IIi | Counselor | 8811 S. Tacoma Way, 106, Lakewood, WA 98499 | 2017-12-18 |
| 1578077657 | Andrea Gaston | Behavior Technician | 8815 S. Tacoma Way, Suite 122, Lakewood, WA 98499 | 2017-11-27 |
| 1609389931 | Jennifer King | Social Worker | 5900 100th St Sw Ste 17b, Lakewood, WA 98499 | 2017-11-08 |
| 1750806337 | Wonyoung Lee | Counselor | 8811 South Tacoma Way, Suite 106, Lakewood, WA 98499 | 2017-08-04 |
| 1043749443 | Frederick Paltron Edwards | Counselor | 9500 Front Street, Suite 100, Lakewood, WA 98499 | 2017-06-08 |
| Find all providers in zip 98499 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| 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. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689280315 | Tzipora Loewy | Speech-Language Pathologist | 424 9th St Apt 12, Lakewood, NJ 08701-2612 | 2020-09-17 |
| 1861005894 | Ellen Ratigan | Speech-Language Pathologist | 756 Holland St, Lakewood, CO 80215-5888 | 2020-08-28 |
| 1790395705 | Miri Schmookler | Speech-Language Pathologist | 13 Flannery Ave, Lakewood, NJ 08701-4751 | 2020-08-04 |
| 1194333609 | Rivka Katz | Speech-Language Pathologist | 32 Finchley Blvd, Lakewood, NJ 08701-5522 | 2020-07-21 |
| 1760009294 | Yael Herskovits | Speech-Language Pathologist | 4 Kenyon Dr, Lakewood, NJ 08701-4753 | 2020-06-30 |
| 1679199566 | Alta Vista Center for Autism | Speech-Language Pathologist | 2001 Hoyt Street, Lakewood, CO 80215 | 2020-06-17 |
| 1326662453 | Axis Teletherapy | Speech-Language Pathologist | 36 Glen Ave, Lakewood, NJ 08701-3055 | 2020-06-04 |
| 1003442047 | Melissa Smith | Speech-Language Pathologist | 1451 Rosewood Ave, Lakewood, OH 44107-3733 | 2020-03-22 |
| 1578199352 | Elbereth Gilthoniel Lorenz | Speech-Language Pathologist | 10320 Farwest Dr Sw, Lakewood, WA 98498-1799 | 2020-03-12 |
| 1700418241 | Kaela Delperdang | Speech-Language Pathologist | 620 S Vance St Unit 1218, Lakewood, CO 80226-5021 | 2020-02-12 |
| Find all providers in LAKEWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.