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NPI Code Detail

MEDICARE: SPEECH 4 KIDZ AND MORE

MEDICARE: SPEECH 4 KIDZ AND MORE
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
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1790173235
Entity Type Code : Organization
Provider Name (Legal Business Name) : SPEECH 4 KIDZ AND MORE
Provider Business Mailing Address
First Line : 5919 OLEANDER DR
Second Line : SUITE 119
City : WILMINGTON
State : NC
Zip : 28403-4780
Country : US
Telephone Number : 910-470-7937
Fax Number :
Provider Business Practice Location Address
First Line : 58 OFFICE PARK DR
Second Line :
City : JACKSONVILLE
State : NC
Zip : 28546-3218
Country : US
Telephone Number : 910-395-2995
Fax Number : 910-313-0951
Authorized Official
Title or Position : OWNER
Name : AMY HOWARD
Credential : M.S., CCC-SLP
Telephone Number : 910-395-2995
Provider Enumeration Date : 01/07/2015
Last Update Date : 01/07/2015

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Directions to “SPEECH 4 KIDZ AND MORE ” Practice Location

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