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NPI Code Detail

MEDICARE: SPEECH 4 KIDZ INC.

MEDICARE: SPEECH 4 KIDZ INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225XP0200XPediatric Occupational Therapist
2235Z00000XSpeech-Language Pathologist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1114972411
Entity Type Code : Organization
Provider Name (Legal Business Name) : SPEECH 4 KIDZ INC.
Provider Business Mailing Address
First Line : 1651 VERRAZZANO DR
Second Line :
City : WILMINGTON
State : NC
Zip : 28405-4225
Country : US
Telephone Number : 910-470-7937
Fax Number : 910-313-0951
Provider Business Practice Location Address
First Line : 58 OFFICE PARK DR
Second Line :
City : JACKSONVILLE
State : NC
Zip : 28546-3218
Country : US
Telephone Number : 910-353-2440
Fax Number : 910-313-0951
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : AMY NORED HOWARD
Credential : M.S., CCC-SLP
Telephone Number : 910-470-7937
Provider Enumeration Date : 05/24/2006
Last Update Date : 12/23/2019

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Directions to “SPEECH 4 KIDZ INC. ” Practice Location

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