MEDICARE: CLEARLY SPEAKING, 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	235Z00000X	Speech-Language Pathologist	5330	NC

General Provider Information

NPI Number	:	1700104171
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLEARLY SPEAKING, INC.

Provider Business Mailing Address
First Line	:	9100 ASHTON GLEN DR
Second Line	:
City	:	ZEBULON
State	:	NC
Zip	:	27597
Country	:	US
Telephone Number	:	919-269-0330
Fax Number	:

Provider Business Practice Location Address
First Line	:	9100 ASHTON GLEN DR
Second Line	:
City	:	ZEBULON
State	:	NC
Zip	:	27597
Country	:	US
Telephone Number	:	919-269-0330
Fax Number	:

Authorized Official
Title or Position	:	SPEECH-LANGUAGE PATHOLOGIST
Name	:	MRS. ELIZABETH R MAYNOR
Credential	:	MED., CCC-SLP
Telephone Number	:	919-269-0330

Provider Enumeration Date	:	05/11/2010
Last Update Date	:	05/11/2010

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Directions to “CLEARLY SPEAKING, INC. ” Practice Location

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