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NPI Code Detail

MEDICARE: MR. JOSHUA TODD VIRE M ED CCC SLP

MEDICARE: MR. JOSHUA TODD VIRE M ED CCC SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist7012NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1245323385
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOSHUA TODD VIRE M ED CCC SLP
Provider Business Mailing Address
First Line : 2675 COURT DR
Second Line :
City : GASTONIA
State : NC
Zip : 28054-1478
Country : US
Telephone Number : 704-824-7800
Fax Number : 704-824-2853
Provider Business Practice Location Address
First Line : 2675 COURT DR
Second Line :
City : GASTONIA
State : NC
Zip : 28054-1478
Country : US
Telephone Number : 704-824-7800
Fax Number : 704-824-2853
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2006
Last Update Date : 07/08/2007

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