=====================================================
General NPI Number Information
=====================================================
NPI Number | 1184561201
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DURHAM PUBLIC SCHOOLS
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/29/2026
-----------------------------------------------------
Last Update Date | 04/29/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2325 CHEEK RD
-----------------------------------------------------
City | DURHAM
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27704-5203
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 919-560-3952
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 40 SUGARMAPLE WAY
-----------------------------------------------------
City | YOUNGSVILLE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27596-5400
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 919-672-4150
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | SPEECH PATHOLOGIST
-----------------------------------------------------
Name | MARLA COOPER CLAYTON
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 919-560-3952
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 235Z00000X
-----------------------------------------------------
Taxonomy Name | Speech-Language Pathologist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------