Organization Name: | KING'S LEARNING CENTER |
NPI Number: | 1669690277 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CAROLYN K KING (OWNER) |
Mailing Address: | 3711 Martin Luther King Jr Dr Lumberton |
State: | NC US |
Postal Code: | 283588840 |
Phone Number: | 9107387474 |
Fax Number: | |
NPI Enumeration Date: | 04/22/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 78000070 |
Healthcare Provider Taxonomy: (Secondary) | X |
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 |