MEDICARE: HELLO SPEECH THERAPY, PLLC

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
1	235Z00000X	Speech-Language Pathologist
2	261QH0700X	Hearing and Speech Clinic/Center

General Provider Information

NPI Number	:	1316653421
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HELLO SPEECH THERAPY, PLLC

Provider Business Mailing Address
First Line	:	129 HILDA DR
Second Line	:
City	:	NEW BERN
State	:	NC
Zip	:	28562-9113
Country	:	US
Telephone Number	:	252-671-7746
Fax Number	:

Provider Business Practice Location Address
First Line	:	129 HILDA DR
Second Line	:
City	:	NEW BERN
State	:	NC
Zip	:	28562-9113
Country	:	US
Telephone Number	:	252-671-7746
Fax Number	:

Authorized Official
Title or Position	:	OWNER/SPEECH LANGUAGE PATHOLOGIST
Name	:	HEATHER REYNOLDS
Credential	:	MS,CCC-SLP
Telephone Number	:	252-671-7746

Provider Enumeration Date	:	01/24/2023
Last Update Date	:	01/26/2023

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