Healthcare Provider Details

I. General information

NPI: 1669483210
Provider Name (Legal Business Name): SPEECH CONNECTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 PAGE ST. SUITE D
PINEHURST NC
28374-4177
US

IV. Provider business mailing address

PO BOX 4177
PINEHURST NC
28374-4177
US

V. Phone/Fax

Practice location:
  • Phone: 910-295-2609
  • Fax: 910-295-0026
Mailing address:
  • Phone: 910-295-2609
  • Fax: 910-295-0026

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: MS. SALLY J. MCRAE
Title or Position: GRANT MANAGER
Credential: NA
Phone: 910-295-2609