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CAROLINA PEDIATRIC DYSPHAGIA NPI 1356423578


NPI Information

NPI: 1356423578
Provider Name: CAROLINA PEDIATRIC DYSPHAGIA
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Organization
Address:
3714 BENSON DR
SUITE 100
RALEIGH, NC
ZIP 27609
Phone: (919) 877-9800
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CAROLINA PEDIATRIC DYSPHAGIA is a speech language pathologist in Raleigh, NC. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. CAROLINA PEDIATRIC DYSPHAGIA NPI is 1356423578. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3714 BENSON DR
SUITE 100
RALEIGH, NC
ZIP 27609-384
Phone: (919) 877-9800
Fax: (919) 877-9408

The provider's authorized official is Joan D Comrie .
The authorized official title is Owner and has the following contact phone number (919) 877-9800.

The enumeration date for this NPI number is 10/19/2006 and was last updated on 8/22/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1235Z00000XSpeech-Language Pathologist2274NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10270VOTHERNORTH CAROLINABCBS
27210602MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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