Pediatric Speech Language Therapy, Pllc, NPI 1770988669
Developmentally Disabled Services Day Training Agency in Elizabeth City, NC, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1770988669
NPI Entity Type Organization
Provider Name Pediatric Speech Language Therapy, Pllc
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 1216 Crescent Dr, Elizabeth City, NC, US
Provider Mailing Address 1216 Crescent Dr, Elizabeth City, NC, US, 279096652
Is Sole Proprietor? No
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Organization Official

Official Name MRS. MA,CCC-SLP Rebecca Soldan Broadfoot
Official Position SPEECH-LANGUAGE PATHOLOGIST
Phone 252-339-8145

Primary Taxonomy

Taxonomy Code

251C00000X

Taxonomy Name Developmentally Disabled Services Day Training Agency
Classification

Day Training, Developmentally Disabled Services

Group

Agencies

License No. 11106
License State NC
Description These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.

Business Address

Pediatric Speech Language Therapy, Pllc
1216 Crescent Dr

Elizabeth City, NC, US

Phone: 252-339-8145
Fax: 252-338-9156

Mailing Address

Pediatric Speech Language Therapy, Pllc
1216 Crescent Dr
Elizabeth City, NC, US
ZIP 279096652
Phone: 252-339-8145
Fax: 252-338-9156

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