Organization Name: | COMMUNICATION 360 LLC |
NPI Number: | 1205063138 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | OPAL DIONNE WILLIAMS (SPEECH-LANGUAGE PATHOLOGIST/OWNER) |
Mailing Address: | 742 Mcknight Dr Suite 221 Knightdale |
State: | NC US |
Postal Code: | 275457764 |
Phone Number: | 9197716830 |
Fax Number: | 8884222757 |
NPI Enumeration Date: | 06/18/2009 |
NPI Last Update Date: | 12/31/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 4240 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | SC |
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 |