| Carolina Speech Source, Llc | |
|
118 5th Ave Nw Hickory NC 28601-4929 | |
| (828) 322-7826 | |
| Not Available |
| Full Name | Carolina Speech Source, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 118 5th Ave Nw, Hickory, North Carolina |
| Authorized Official Name and Position | Katelyn Donovan (OWNER) |
| Authorized Official Contact | 8283227826 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Speech Source, Llc 118 5th Ave Nw Hickory NC 28601-4929 Ph: () - | Carolina Speech Source, Llc 118 5th Ave Nw Hickory NC 28601-4929 Ph: (828) 322-7826 |
| NPI Number | 1184761132 |
|---|---|
| Provider Enumeration Date | 01/31/2007 |
| Last Update Date | 12/07/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184761132 | NPI | - | NPPES |
| 8300167 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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