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METROPOLITAN MILESTONES CENTER LLC NPI 1689111312


NPI Information

NPI: 1689111312
Provider Name: METROPOLITAN MILESTONES CENTER, LLC
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Organization
Address:
2199 MOIR MILL RD
REIDSVILLE, NC
ZIP 27320
Phone: (336) 627-0934
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METROPOLITAN MILESTONES CENTER, LLC is a speech language pathologist in Reidsville, 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. METROPOLITAN MILESTONES CENTER, LLC NPI is 1689111312. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2199 MOIR MILL RD
REIDSVILLE, NC
ZIP 27320-074
Phone: (336) 627-0934

The provider's authorized official is Elizabeth Patterson Tucker .
The authorized official title is Speech-language Pathologist and has the following contact phone number (336) 613-2203.

The enumeration date for this NPI number is 1/19/2017 and was last updated on 1/19/2017.


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 Pathologist9760NORTH 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
11326493628MEDICAIDNORTH 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: 4/28/2024

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