Organization Name: | BLOOMING SPEECH THERAPY, PLLC |
NPI Number: | 1336571066 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | COURTNEY H PITT (MEMBER/MANAGER/OWNER/SLP) |
Mailing Address: | 800 Saint Patrick St Tarboro |
State: | NC US |
Postal Code: | 278863849 |
Phone Number: | 2529046047 |
Fax Number: | 2525635864 |
NPI Enumeration Date: | 08/05/2013 |
NPI Last Update Date: | 08/05/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 7138 |
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 |