PROFESSIONAL EARLY INTERVENTION SERVICES LLC NPI 1629151832

NPI Information

NPI: 1629151832
Provider Name: PROFESSIONAL EARLY INTERVENTION SERVICES, LLC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
1708A OWEN DR
FAYETTEVILLE, NC
ZIP 28304
Phone: (910) 425-6282
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PROFESSIONAL EARLY INTERVENTION SERVICES, LLC is a multi-specialty clinic center in Fayetteville, NC. PROFESSIONAL EARLY INTERVENTION SERVICES, LLC NPI is 1629151832. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1708A OWEN DR
FAYETTEVILLE, NC
ZIP 28304-419
Phone: (910) 425-6282
Fax: (910) 425-6554

The provider's authorized official is Cynthia M Carroll .
The authorized official title is Owner and has the following contact phone number (910) 425-6282.

The enumeration date for this NPI number is 10/23/2006 and was last updated on 4/1/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	103K00000X	Behavior Analyst		No
2	103TB0200X	Psychologist	Cognitive & Behavioral	No
3	2251P0200X	Physical Therapist	Pediatrics	No
4	225X00000X	Occupational Therapist		No
5	235Z00000X	Speech-Language Pathologist		No
6	252Y00000X	Early Intervention Provider Agency		No
7	261QD1600X	Clinic/Center	Developmental Disabilities	No
8	261QH0700X	Clinic/Center	Hearing and Speech	No
9	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
10	261QP2000X	Clinic/Center	Physical Therapy	No
11	261QM1300X	Clinic/Center	Multi-Specialty	Yes

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: 4/28/2024

NPI Synchronization or Removal

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