| Organization Name: | SPEAKTACULAR SPEECH THERAPY, PLLC |
| NPI Number: | 1205199932 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | REBECCA A SLUDER (PRESIDENT) |
| Mailing Address: | 8385 Cheval St Clemmons |
| State: | NC US |
| Postal Code: | 270129122 |
| Phone Number: | 3366719599 |
| Fax Number: | 3367409075 |
| NPI Enumeration Date: | 06/18/2012 |
| NPI Last Update Date: | 06/18/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 5216 |
| 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 |