MEDICARE: ZARASPEECH COMPANY PC

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	261QH0700X	Hearing and Speech Clinic/Center

General Provider Information

NPI Number	:	1548120819
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ZARASPEECH COMPANY PC

Provider Business Mailing Address
First Line	:	430 CALDWELL LOOP
Second Line	:
City	:	JACKSONVILLE
State	:	NC
Zip	:	28546-8396
Country	:	US
Telephone Number	:	910-750-7822
Fax Number	:

Provider Business Practice Location Address
First Line	:	430 CALDWELL LOOP
Second Line	:
City	:	JACKSONVILLE
State	:	NC
Zip	:	28546-8396
Country	:	US
Telephone Number	:	910-750-7822
Fax Number	:

Authorized Official
Title or Position	:	SLP
Name	:	GRACE ZARAS
Credential	:	M.S. CCC-SLP
Telephone Number	:	910-750-7822

Provider Enumeration Date	:	11/17/2025
Last Update Date	:	11/17/2025

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