MEDICARE: BEYOND WORDS SPEECH THERAPY

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

General Provider Information

NPI Number	:	1700636255
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEYOND WORDS SPEECH THERAPY

Provider Business Mailing Address
First Line	:	9728 DANSINGTON CT
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27615-4138
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9728 DANSINGTON CT
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27615-4138
Country	:	US
Telephone Number	:	336-430-8096
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CATHERINE KUCZKOWSKI
Credential	:	CCC-SLP
Telephone Number	:	335-430-8096

Provider Enumeration Date	:	03/26/2024
Last Update Date	:	03/26/2024

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Directions to “BEYOND WORDS SPEECH THERAPY ” Practice Location

Language	Start Address	Practice Location

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