Healthcare Provider Details

I. General information

NPI: 1144311374
Provider Name (Legal Business Name): SPOKEN PRECISION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2006
Last Update Date: 08/26/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

598 INDIAN TRAIL RD S SUITE 141
INDIAN TRAIL NC
28079-8689
US

IV. Provider business mailing address

598 INDIAN TRAIL RD S SUITE 141
INDIAN TRAIL NC
28079-8689
US

V. Phone/Fax

Practice location:
  • Phone: 704-975-7008
  • Fax: 704-821-0570
Mailing address:
  • Phone: 704-975-7008
  • Fax: 704-821-0570

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number2702
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number4957
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number5952
License Number StateNC
# 4
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number StateNC
# 5
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number6738
License Number StateNC

VIII. Authorized Official

Name: MRS. TOINETTE CHRISTINE LAGUERRE
Title or Position: SPEECH LANG. PATHOLOGIST/PRESIDENT
Credential: M.S.,CCC-SLP
Phone: 704-975-7008