MEDICARE: SPEECH THERAPY PLUS, INC.

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	225X00000X	Occupational Therapist	4866	NC
2	235Z00000X	Speech-Language Pathologist	5465	NC

Other Identifiers

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

General Provider Information

NPI Number	:	1679634083
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPEECH THERAPY PLUS, INC.

Provider Business Mailing Address
First Line	:	105 FLORIDA AVE
Second Line	:	UNIT 2
City	:	CAROLINA BCH
State	:	NC
Zip	:	28428-5802
Country	:	US
Telephone Number	:	252-633-6770
Fax Number	:	877-335-6220

Provider Business Practice Location Address
First Line	:	105 FLORIDA AVE
Second Line	:	UNIT 2
City	:	CAROLINA BCH
State	:	NC
Zip	:	28428-5802
Country	:	US
Telephone Number	:	252-633-6770
Fax Number	:	877-335-6220

Authorized Official
Title or Position	:	PRESIDENT
Name	:	KAYSE FIELDS HENRY
Credential	:
Telephone Number	:	252-717-8005

Provider Enumeration Date	:	12/12/2006
Last Update Date	:	02/03/2015

Similar Medicare Providers

1194433391 — LANDON ELIZABETH GIRVIN
Practice Location Address:

915 LAKE PARK BLVD N
CAROLINA BCH, NC
28428-4851

Practice Phone: 910-448-4965
Practice Fax:

1285795674 — KAYSE FIELDS BEASLEY MS, CCC-SLP
Practice Location Address:

105 FLORIDA AVE
CAROLINA BEACH, NC
28428-5802

Practice Phone: 252-717-8005
Practice Fax: 877-335-6220

1770846099 — KATHERINE NELSON MS, CCC-SLP
Practice Location Address:

105 FLORIDA AVE
CAROLINA BEACH, NC
28428-5802

Practice Phone: 252-633-6770
Practice Fax: 877-335-6220

1477966075 — HEATHER REYNOLDS
Practice Location Address:

105 FLORIDA AVE
CAROLINA BEACH, NC
28428-5802

Practice Phone: 252-633-6770
Practice Fax: 877-335-6220

1831293935 — DR. WALTER J WULF DDS PA
Practice Location Address:

2253 CAROLINA BCH RD
WILMINGTON, NC
28401

Practice Phone: 910-343-0830
Practice Fax: 910-343-8559

1740942390 — ASCEND WITH ABA PLLC
Practice Location Address:

429 CAROLINA AVE
VIRGINIA BCH, VA
23451-4604

Practice Phone: 757-685-1384
Practice Fax:

Directions to “SPEECH THERAPY PLUS, INC. ” 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.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.