MEDICARE: CENTER FOR SPEECH LANGUAGE AND LEARNING

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	016GR	OTHER	NC	BCBSNC
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1528017027
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTER FOR SPEECH LANGUAGE AND LEARNING

Provider Business Mailing Address
First Line	:	PO BOX 2712
Second Line	:
City	:	CHAPEL HILL
State	:	NC
Zip	:	27515-2712
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1703 LEGION RD
Second Line	:	SUITE 204
City	:	CHAPEL HILL
State	:	NC
Zip	:	27517-2359
Country	:	US
Telephone Number	:	919-932-7160
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SUSAN A KHAN
Credential	:	MA
Telephone Number	:	919-932-7160

Provider Enumeration Date	:	05/10/2006
Last Update Date	:	09/13/2007

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Directions to “CENTER FOR SPEECH LANGUAGE AND LEARNING ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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