Early Bird Developmental Services, LLC
Speech-Language Pathologist, in Matthews, NC. Organization (NPI-2).
NPI number1891869236
StatusActive
Last updated in NPPESJun 4, 2013
Details
- NPI
- 1891869236
- Entity type
- Organization (NPI-2)
- Legal business name
- Early Bird Developmental Services, LLC
- Organization subpart
- No
- Enumeration date
- Nov 18, 2006
- Last updated
- Jun 4, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | – | – | Yes |
| 251S00000X | Community/Behavioral Health | – | – | |
| 252Y00000X | Early Intervention Provider Agency | – | – | |
| 225X00000X | Occupational Therapist | – | – | |
| 1041C0700X | Social Worker, Clinical | – | – | |
| 225XP0200X | Occupational Therapist, Pediatrics | – | – | |
| 222Q00000X | Developmental Therapist | – | – | |
| 251E00000X | Home Health | – | – | |
| 2251P0200X | Physical Therapist, Pediatrics | – | – | |
| 225100000X | Physical Therapist | – | – | |
| 2355S0801X | Specialist/Technologist, Speech-Language Assistant | – | – | |
| 224Z00000X | Occupational Therapy Assistant | – | – | |
| 225200000X | Physical Therapy Assistant | – | – |
Practice location
212 W Matthews StSuite 105
Matthews, NC 28105-5441
Phone 704-846-0262
Mailing address
3007 Simmon Tree RdCharlotte, NC 28270-0676
Phone 704-995-2900
Authorized official
Sherry Seitlin Kornfeld
Member/Manager
7049952900
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