Speech Pathology And Audiology Services Of Robeson
Speech-Language Pathologist, in Lumberton, NC. Organization (NPI-2).
NPI number1174684591
StatusActive
Last updated in NPPESApr 18, 2016
Details
- NPI
- 1174684591
- Entity type
- Organization (NPI-2)
- Legal business name
- Speech Pathology And Audiology Services Of Robeson
- Organization subpart
- No
- Enumeration date
- Dec 12, 2006
- Last updated
- Apr 18, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 5408 | NC | Yes |
| 251S00000X | Community/Behavioral Health | – | – |
Practice location
765 Oakridge BlvdLumberton, NC 28358-2325
Phone 910-738-6071 · Fax 910-738-3002
Mailing address
765 Oakridge BlvdLumberton, NC 28358-2325
Phone 910-738-6071 · Fax 910-738-3002
Authorized official
Jennifer Inman Stephenson
Speech-Language Pathologist
9107386071
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