Organization Name: | INNOVATIVE THERAPY SOLUTIONS, PLLC |
NPI Number: | 1083033690 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KATRINA GREEN PASCHALL (OWNER/SPEECH LANGUAGE PATHOLOGIST) |
Mailing Address: | 2084 Longwood Dr Creedmoor |
State: | NC US |
Postal Code: | 275228110 |
Phone Number: | 8666112144 |
Fax Number: | 8662091103 |
NPI Enumeration Date: | 04/10/2014 |
NPI Last Update Date: | 04/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 10541 |
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 |