Wake Pediatric Speech Therapy

LBN: Wake Pediatric Speech Therapy
Wake Pediatric Speech Therapy is an health care organization with primary practice located at 1157 Executive Cir Ste B1 , Cary NC 27511-4579. The organization recently has only one registered license in Ambulatory Health Care Facilities / Hearing and Speech, which is considered as the primary health care specialty. Wake Pediatric Speech Therapy can be contacted via phone (919) 593-8104, or through Johnson, Christina via phone (919) 593-8104.

Contact Information

Primary practice address
1157 Executive Cir Ste B1 Cary NC 27511-4579
Phone: (919) 593-8104
Fax: (919) 882-8110
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Christina MS, CCC-SLP
Phone: (919) 593-8104

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Hearing and Speech 261QH0700X 5439 North Carolina

Profile Details

NPI number 1366860546
LBN Legal business name Wake Pediatric Speech Therapy
DBA Doing business as
Authorized official Johnson, Christina MS, CCC-SLP
Entity Organization
Organization subpart 1 No
Enumeration date Apr 3rd, 2014
Last updated Apr 3rd, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366860546 NPPES
North Carolina MEDICAID 7413900

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