CAROLINA CHILDREN'S THERAPY NPI 1417092925

NPI Information

  • NPI: 1417092925
  • Provider Name: CAROLINA CHILDREN'S THERAPY
  • Classification: Speech-Language Pathologist - 235Z00000X
  • Entity Type: Organization
  • Address: 8031 US BUS HWY 70 W
    CLAYTON, NC
    ZIP 27520
  • Phone: (919) 630-9040

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NPI Details

CAROLINA CHILDREN'S THERAPY is a speech language pathologist in Clayton, 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 CHILDREN'S THERAPY NPI is 1417092925. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8031 US BUS HWY 70 W
CLAYTON, NC
ZIP 27520-807
Phone: (919) 630-9040
Fax: (919) 553-3836

The provider's authorized official is Lisa Hales Brogdon .
The authorized official title is Director and has the following contact phone number (919) 630-9040.

The enumeration date for this NPI number is 2/21/2007 and was last updated on 12/5/2012.

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 License Number License State Primary
1225XP0200XOccupational TherapistPediatrics1468NORTH CAROLINANo
2235Z00000XSpeech-Language Pathologist6445NORTH CAROLINANo
3235Z00000XSpeech-Language Pathologist5846NORTH CAROLINANo
4235Z00000XSpeech-Language Pathologist3429NORTH CAROLINANo
5235Z00000XSpeech-Language Pathologist8686NORTH CAROLINANo
6235Z00000XSpeech-Language Pathologist3916NORTH 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1011NUOTHERNORTH CAROLINABCBS GROUP PROVIDER NUMBE
27210782MEDICAIDNORTH 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: 3/30/2025

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