About Speech, Speech And Language Therapy, PLLC
Speech-Language Pathologist, in Clayton, NC. Organization (NPI-2).
NPI number1902249451
StatusActive
Last updated in NPPESJan 25, 2022
Details
- NPI
- 1902249451
- Entity type
- Organization (NPI-2)
- Legal business name
- About Speech, Speech And Language Therapy, PLLC
- Organization subpart
- No
- Enumeration date
- Apr 15, 2013
- Certification date
- Jan 25, 2022
- Last updated
- Jan 25, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 9723 | NC | Yes |
Practice location
311 Josiah DrClayton, NC 27527-4248
Phone 919-585-6126 · Fax 919-243-8229
Mailing address
311 Josiah DrClayton, NC 27527-4248
Phone 919-585-6126 · Fax 919-243-8229
Other practice locations
54 Bexley Way
Clayton, NC 27527-3344
Clayton, NC 27527-3344
Phone 919-585-6126 · Fax 919-585-6126
Authorized official
Jessica Masciarelli
Speech-Language Pathologist
9195856126
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