Healthcare Provider Details

I. General information

NPI: 1073442885
Provider Name (Legal Business Name): INSPIRE SPEECH, LANGUAGE, AND LEARNING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

88 W TRAFALGAR CT
CLAYTON NC
27520-3759
US

IV. Provider business mailing address

88 W TRAFALGAR CT
CLAYTON NC
27520-3759
US

V. Phone/Fax

Practice location:
  • Phone: 631-252-3990
  • Fax:
Mailing address:
  • Phone: 631-252-3990
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: JULIANNE RUSSO
Title or Position: OWNER, SLP
Credential: MS, CCC-SLP
Phone: 631-252-3990