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 | 8287817826 |
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 | 1598802548 |
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Provider Enumeration Date | 01/31/2007 |
Last Update Date | 12/07/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598802548 | NPI | - | NPPES |
8300167K | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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