Organization Name: | PROFESSIONAL EARLY INTERVENTION SER |
NPI Number: | 1285775866 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CYNTHIA M CARROLL (OWNER) |
Mailing Address: | 3415 Melrose Rd Suite C-1 Fayetteville |
State: | NC US |
Postal Code: | 283044428 |
Phone Number: | 9104256282 |
Fax Number: | 9104256554 |
NPI Enumeration Date: | 02/08/2007 |
NPI Last Update Date: | 01/28/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
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 |