DR. THOMAS LAURIE SOUTHERN JR. (NPI# 1558981076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558981076 |
| Entity Type | Individual |
| Full Name | DR. THOMAS LAURIE SOUTHERN JR. |
| Credential | SLPD |
| Practice Address |
53359 Champlain St Macomb MI 48042-3739 |
| Practice Telephone | 5868599607 |
| Mailing Telephone | 5868599607 |
| Enumeration Date | 2020-04-24 |
| Last Update Date | 2020-06-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 7101001203 | MI | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104996370 | Thomas E Southern | Plastic Surgery | 3520 Guion Rd, Ste 301, Indianapolis, IN 46222-1672 | 2006-11-08 |
| Street Address |
53359 CHAMPLAIN ST |
| City | MACOMB |
| State | MI |
| Zip Code | 48042-3739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306460308 | Purple Arch Neuro Rehabilitation, LLC | Speech-Language Pathologist | 53359 Champlain St, Macomb, MI 48042-3739 | 2020-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235750431 | Precision Surgery Center LLC | Clinic/Center | 22701 Hall Road, Macomb, MI 48042 | 2020-04-29 |
| 1437573177 | Michael D Pizzimenti | Physical Therapist | 23211 N 21 Mile Road, Macomb, MI 48042 | 2014-02-18 |
| 1518210707 | Kimberly Frances Hodor | Nurse Practitioner | 21840 23 Mile, Macomb, MI 48042 | 2012-10-25 |
| 1952628489 | Frank John Pugliesi | Obstetrics & Gynecology | 49730 S. Thunder Bay Circle, Macomb, MI 48042 | 2010-04-23 |
| 1053575118 | North Macomb Mrt Center LLC | Radiology | 17900 23 Mile Road, Macomb Twp, MI 48042 | 2008-07-17 |
| 1780857870 | Ryan David Vinson | Physical Therapist | 23211 21 Mile Rd, Macomb, MI 48042 | 2008-04-09 |
| 1578690889 | Michael P Nedley | Dentist | 51218 Romeo Plank Rd, Macomb Township, MI 48042 | 2007-02-27 |
| 1477697027 | Amy Hanes | Psychologist | 21592 Doral Dr, Macomb, MI 48042 | 2007-02-16 |
| 1871672055 | Jeffrey Richard Teno | Dentist | 16800 24 Mile, Suite 5, Macomb, MI 48042 | 2006-11-06 |
| 1649389123 | Rite Aid of Michigan Inc | Durable Medical Equipment & Medical Supplies | 15250 24 Mile Road, Macomb, MI 48042 | 2006-08-29 |
| Find all providers in zip 48042 | ||||
| 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 |
|---|---|---|---|---|
| 1972137503 | David Bruce Recor | Speech-Language Pathologist | 610 N Monroe St, Macomb, IL 61455-1718 | 2020-02-22 |
| 1043869944 | Wesley Village, Inc | Speech-Language Pathologist | 1200 East Grant Street, Macomb, IL 61455 | 2019-09-04 |
| 1629623764 | Morgan Rae Hentzel | Speech-Language Pathologist | 315 N Bonham St, Macomb, IL 61455-1808 | 2019-08-06 |
| 1598258980 | Jennifer Elizabeth Wuggazer | Speech-Language Pathologist | 18844 Pine Ln, Macomb, MI 48042-6048 | 2018-06-11 |
| 1821516816 | Michelle Deann Sargeant | Speech-Language Pathologist | 315 N. Bonham, Macomb, IL 61455 | 2017-08-30 |
| 1972020360 | Kara Marie Wright | Speech-Language Pathologist | 315 N. Bonham St., Macomb, IL 61455 | 2017-08-25 |
| 1649794108 | Emily Campbell | Speech-Language Pathologist | 16526 Kingsway Dr, Macomb, MI 48044-1137 | 2017-07-26 |
| 1255788485 | Janis Hein | Speech-Language Pathologist | 21221 Forest Villa Dr, Macomb, MI 48044-2236 | 2016-05-18 |
| 1952772287 | Kimberly Jane-ziegler Iulianelli | Speech-Language Pathologist | 55155 Nelson Dr, Macomb, MI 48042-1727 | 2015-10-13 |
| 1407163850 | Jodie Piper | Speech-Language Pathologist | 47661 Sanborn Dr, Macomb, MI 48044-4814 | 2010-09-07 |
| Find all providers in MACOMB | ||||
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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.