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NPI Code Detail

MEDICARE: KIDS COMMUNICATE PLLC

MEDICARE: KIDS COMMUNICATE 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
1225X00000XOccupational Therapist
2235Z00000XSpeech-Language Pathologist6229NC

General Provider Information

NPI Number : 1770735045
Entity Type Code : Organization
Provider Name (Legal Business Name) : KIDS COMMUNICATE PLLC
Provider Business Mailing Address
First Line : 2848 DAISY LN N
Second Line :
City : WILSON
State : NC
Zip : 27896-6938
Country : US
Telephone Number : 252-230-7901
Fax Number : 252-991-6236
Provider Business Practice Location Address
First Line : 2848 DAISY LN N
Second Line :
City : WILSON
State : NC
Zip : 27896-6938
Country : US
Telephone Number : 252-230-7901
Fax Number : 252-991-6236
Authorized Official
Title or Position : OWNER
Name : LORRIE HALVERSON
Credential :
Telephone Number : 252-230-7901
Provider Enumeration Date : 10/18/2008
Last Update Date : 05/26/2026

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Directions to “KIDS COMMUNICATE PLLC ” Practice Location

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