| Organization Name: | BEACON SPEECH ASSOCIATES, LLC |
| NPI Number: | 1649402793 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ALISON MATTOS DELORME (OWNER) |
| Mailing Address: | 804 Sarazen Dr Clayton |
| State: | NC US |
| Postal Code: | 275273921 |
| Phone Number: | 9194405786 |
| Fax Number: | 9195730759 |
| NPI Enumeration Date: | 08/21/2009 |
| NPI Last Update Date: | 07/05/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| 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 |