Organization Name: | CAROLINA CONCIERGE THERAPEUTICS, PLLC |
NPI Number: | 1033505938 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CARRIE JAYNE HINNANT (SLP/OWNER) |
Mailing Address: | 11201 Livingston Mill Rd Charlotte |
State: | NC US |
Postal Code: | 282734720 |
Phone Number: | 7046548599 |
Fax Number: | |
NPI Enumeration Date: | 04/08/2015 |
NPI Last Update Date: | 04/28/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 11182 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |