| Carolina Speech Academy, Pllc | |
|
112 S Centurion Ln, Mount Holly, NC 28120-8716 | |
| (856) 264-3321 | |
| Not Available |
| Full Name | Carolina Speech Academy, Pllc |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 112 S Centurion Ln, Mount Holly, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306303490 | NPI | - | NPPES |
| 1306303490 | Medicaid | NC | |
| 1326462938 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Speech Academy, Pllc 112 S Centurion Ln, Mount Holly, NC 28120-8716 Ph: (856) 264-3321 | Carolina Speech Academy, Pllc 112 S Centurion Ln, Mount Holly, NC 28120-8716 Ph: (856) 264-3321 |
Mrs. Brandy Jernigan Williams, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 105 Greenway View Ct, Mount Holly, NC 28120 Phone: 704-907-4610 Fax: 704-820-8025 |