Nicholas Andal, M.S.

Individual provider Active NPI Speech-Language Pathologist · Morganton, NC

NPI 1003217282 · NPPES record last updated Sep 8, 2014

Key facts

NPI
1003217282
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
10161 (NC)
Practice address
300 Enola Rd
Morganton, NC 28655-4608
Phone
(828) 433-2661
Fax
(828) 438-6457
NPI assigned
Sep 8, 2014
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Special Kids Inc Speech-Language Pathologist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 10161 NC Yes

Addresses

Primary practice location

300 Enola Rd
Morganton, NC 28655-4608

Mailing address

300 Enola Rd
Morganton, NC 28655-4608
Phone (828) 433-2661

Other identifiers

IdentifierTypeStateIssuer
56-1446800MedicaidNC

Other providers in Morganton, NC

All providers in Morganton, NC · Speech-Language Pathologist in North Carolina

Sources for this page

Verify at the official NPI Registry.