CAROLYN PELLEGRINO


Address: 12875 Cumming Hwy, Canton, GA 30115
Phone: 7702400163

CAROLYN PELLEGRINO (NPI# 1174942650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174942650
Entity Type Individual
Full Name CAROLYN PELLEGRINO
Credential MS, CCC-SLP
Practice Address 12875 Cumming Hwy
Canton
GA 30115
Mailing Address 900 Euclid Ave
Mountain Brk
AL 35213-2606
Practice Telephone 7702400163
Practice Fax Number 7702400163
Mailing Telephone 8502288139
Enumeration Date 2014-04-10
Last Update Date 2018-07-31
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist SLP010240 GA Speech, Language and Hearing Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
150 Glenwood Ln, Birmingham, AL 352425700 2059692880
399 Rose Creek Pl, Woodstock, GA 301896868 8502288139

Office Location

Street Address 12875 CUMMING HWY
City CANTON
State GA
Zip Code 30115

Providers in the same location

NPI Name Taxonomy Address Enumeration
1255439220 James H Shorr Dentist 12875 Cumming Hwy, Suite 101, Canton, GA 30115-4884 2006-09-21
1407462419 Mckenna Elyse Bray Behavioral Analyst 12875 Cumming Hwy, Canton, GA 30115-4884 2020-09-16
1891280921 Joy Therapy and Learning Center LLC Physical Therapist 12875 Cumming Hwy, Canton, GA 30115-4884 2018-07-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497364806 Amanda Arbogast Speech-Language Pathologist 610 Royal Crest Court, Canton, GA 30115 2020-07-31
1033754163 Kelly Marie Shirley Nurse Practitioner 450 Northside Cherokee Blvd., Radiology Dept., Canton, GA 30115 2019-11-13
1700394319 Jennifer Lynn Davenport Nurse Practitioner 684 Sixes Rd Ste 125, Holly Springs, GA 30115 2018-01-17
1851717961 Wal-mart Stores East, Lp Technician/Technologist 2200 Holly Springs Pkey, Holly Springs, GA 30115 2014-03-13
1194148502 Julia Bedingfield Reid Pharmacist 450 Northside Cherokee Blvd Ste T20, Canton, GA 30115 2014-01-22
1447597992 America's Best Contacts & Eyeglasses Technician/Technologist 2030 Cumming Highway, Suite 106, Canton, GA 30115 2013-01-03
1679821193 Jill M Decorso Speech-Language Pathologist 4280 Hickory Flat Hwy, Ste 108, Canton, GA 30115 2012-08-15
1306113378 Sidney Boyd Collier IIi Pharmacist 6111 Hickory Flat Highway, Canton, GA 30115 2011-11-18
1174804702 Rayllensons Itacy Physician Assistant 2020 Cumming Highway, Suite 102, Canton, GA 30115 2011-09-09
1245534346 Kim M. Mcmillan Counselor 154 Lakeside Drive, Canton, GA 30115 2011-01-04
Find all providers in zip 30115

Taxonomy Information

Taxonomy Code 235Z00000X
Grouping Speech, Language and Hearing Service Providers
Classification Speech-Language Pathologist

Taxonomy 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.
Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760096853 Chelsea Marie Swadling Speech-Language Pathologist 5838 Granby Ln, Canton, MI 48187-0047 2020-09-04
1497364806 Amanda Arbogast Speech-Language Pathologist 610 Royal Crest Court, Canton, GA 30115 2020-07-31
1255805339 Patricia Dimaria Speech-Language Pathologist 45707 Morningside Dr, Canton, MI 48187-5448 2019-01-11
1497220529 Sherry Carey Speech-Language Pathologist 43511 Cherrywood Ln, Canton, MI 48188-5296 2018-10-04
1184107229 Christina L Liming Speech-Language Pathologist 12875 Cumming Hwy Ste 104, Canton, GA 30115-4885 2018-09-14
1023590700 Alyssa Louise Miller Speech-Language Pathologist 800 Market Ave N # Set1560, Canton, OH 44702-1083 2018-08-30
1265913230 Megan Kasper Speech-Language Pathologist 6879 Kings Mill Dr, Canton, MI 48187-5479 2018-08-27
1194230359 Amy Jennifer Parnell Speech-Language Pathologist 1100 Reinhardt College Pkwy, Canton, GA 30114-2011 2017-12-11
1760901722 Alayna Marie Chlad Speech-Language Pathologist 5138 Susetta Ave Nw, Canton, OH 44709-4878 2017-09-11
1962928101 Terese Lynn Falk Speech-Language Pathologist 700 Old West Vine St, Canton, IL 61520-8754 2017-08-18
Find all providers in CANTON

Competitor

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City CANTON
Zip Code 30115

Improve Information

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Dataset Information

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.

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