Organization Name: | BJM SPEECH LANGUAGE THERAPY & REHABILITATION SERVICES, INC. |
NPI Number: | 1063770352 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BELINDA J MADUJIBEYA (SPEECH LANGUAGE PATHOLOGIST) |
Mailing Address: | 1002 Vandora Springs Rd Ste 114 Garner |
State: | NC US |
Postal Code: | 275293546 |
Phone Number: | 9193321022 |
Fax Number: | |
NPI Enumeration Date: | 04/25/2012 |
NPI Last Update Date: | 04/25/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QH0700X |
License Number: | 2143 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Hearing and Speech |
Taxonomy Definition: | An entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability. |