MEDICARE: SPEECH PARTNERS

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	12431	OTHER	NC	BCBS GROUP
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588617872
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPEECH PARTNERS

Provider Business Mailing Address
First Line	:	2316 ANDERSON DR
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27608-1404
Country	:	US
Telephone Number	:	919-781-5728
Fax Number	:	919-781-5744

Provider Business Practice Location Address
First Line	:	2316 ANDERSON DR
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27608-1404
Country	:	US
Telephone Number	:	919-781-5728
Fax Number	:	919-781-5744

Authorized Official
Title or Position	:	OWNER
Name	:	MARY HOLMES
Credential	:	ST
Telephone Number	:	919-781-5728

Provider Enumeration Date	:	05/18/2006
Last Update Date	:	10/06/2014

Similar Medicare Providers

1306892641 — MRS. MARY HOLMES ST
Practice Location Address:

2316 ANDERSON DR
RALEIGH, NC
27608-1404

Practice Phone: 919-781-5728
Practice Fax: 919-781-5744

1508125071 — JULIE CODY
Practice Location Address:

1404 ELBERON PL
RALEIGH, NC
27609-4010

Practice Phone: 919-876-3699
Practice Fax:

1326040700 — DR. IRENEE M DUNCAN MD
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2507 KENMORE DR
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27608-1419

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1437146842 — MR. SCOTT E KAUFFMAN CRNA
Practice Location Address:

1600 BICKETT BLVD
RALEIGH, NC
27608-2567

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Practice Fax:

1326035791 — JAMES ADDISON THOMPSON JR. RPH
Practice Location Address:

2000 FAIRVIEW RD
RALEIGH, NC
27608-2316

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1225026271 — MS. NANCY MORIARTY PT,DPT
Practice Location Address:

2310 BALE ST STE 100
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27608-1795

Practice Phone: 919-364-4000
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Directions to “SPEECH PARTNERS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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