MEDICARE: SPEECH EXCHANGE AND LANGUAGE THERAPY

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
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1356930515
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPEECH EXCHANGE AND LANGUAGE THERAPY

Provider Business Mailing Address
First Line	:	9787 RAVENSCROFT LN NW
Second Line	:
City	:	CONCORD
State	:	NC
Zip	:	28027-3591
Country	:	US
Telephone Number	:	909-542-8360
Fax Number	:

Provider Business Practice Location Address
First Line	:	9787 RAVENSCROFT LN NW
Second Line	:
City	:	CONCORD
State	:	NC
Zip	:	28027-3591
Country	:	US
Telephone Number	:	704-886-4136
Fax Number	:

Authorized Official
Title or Position	:	OWNER/SPEECH-LANGUAGE PATHOLOGIST
Name	:	DR. KHALYN SOLOMON
Credential	:	SLPD
Telephone Number	:	404-216-9501

Provider Enumeration Date	:	01/12/2021
Last Update Date	:	12/09/2025

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Directions to “SPEECH EXCHANGE AND LANGUAGE THERAPY ” Practice Location

Language	Start Address	Practice Location

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