- Speech-Language Pathologist in Carolina Bch, NC

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is a Speech-language Pathologist based in Carolina Bch, North Carolina. is licensed to practice in North Carolina (license number 5465) and their current practice location is 105 Florida Ave, Unit 2, Carolina Bch, North Carolina. It can be reached at their office (for appointments etc.) via phone at (252) 633-6770.

NPI number for is 1679634083 and their current mailing address is 105 Florida Ave, Unit 2, Carolina Bch, North Carolina. does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1679634083.

Contact Information

105 Florida Ave, Unit 2,
Carolina Bch, NC 28428-5802
(252) 633-6770
(877) 335-6220

Map and Direction




Healthcare Provider's Profile

Full Name
TypeFacility
SpecialitySpeech-language Pathologist
Location105 Florida Ave, Carolina Bch, North Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. The facility may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1679634083
  • Provider Enumeration Date: 12/12/2006
  • Last Update Date: 02/03/2015

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679634083NPI-NPPES
7211527MedicaidNC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist 4866 (North Carolina)Secondary
235Z00000XSpeech-language Pathologist 5465 (North Carolina)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

105 Florida Ave, Unit 2,
Carolina Bch, NC 28428-5802

Ph: (252) 633-6770
105 Florida Ave, Unit 2,
Carolina Bch, NC 28428-5802

Ph: (252) 633-6770

Reviews and Comments


Speech-Language Pathologist in Carolina Bch, NC


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