SPARK SPEECH PLLC NPI 1841011236

NPI Information

  • NPI: 1841011236
  • Provider Name: SPARK SPEECH PLLC
  • Classification: Speech-Language Pathologist - 235Z00000X
  • Entity Type: Organization
  • Address: 149 SCOFIELD RD
    CHARLOTTE, NC
    ZIP 28209
  • Phone: (980) 241-3066

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NPI Details

SPARK SPEECH PLLC is a speech language pathologist in Charlotte, 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. SPARK SPEECH PLLC NPI is 1841011236. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

149 SCOFIELD RD
CHARLOTTE, NC
ZIP 28209-625
Phone: (980) 241-3066

The provider's authorized official is Addyson Brotherton .
The authorized official title is President and has the following contact phone number (980) 241-3066.

The enumeration date for this NPI number is 10/18/2024 and was last updated on 10/18/2024.

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
1235Z00000XSpeech-Language PathologistYes

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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