Healthcare Provider Details

I. General information

NPI: 1437505401
Provider Name (Legal Business Name): LINCOLN SPEECH SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2016
Last Update Date: 02/13/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

203 S ACADEMY ST STE B
LINCOLNTON NC
28092-2714
US

IV. Provider business mailing address

203 S ACADEMY ST STE B
LINCOLNTON NC
28092-2714
US

V. Phone/Fax

Practice location:
  • Phone: 828-337-1533
  • Fax:
Mailing address:
  • Phone: 828-337-1533
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code225C00000X
TaxonomyRehabilitation Counselor
License Number
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number StateNULL
# 4
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateNULL
# 5
Primary TaxonomyN
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License Number
License Number StateNC

VIII. Authorized Official

Name: LAWSON KISER
Title or Position: OWNER
Credential:
Phone: 828-337-1533