Coastal Speech Center Inc

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3553 Issued in NC

Legal business name

COASTAL SPEECH CENTER INC

Practice address

210 Liberty Hill Rd
Lumberton, NC 28358-2442

Phone

(910) 272-9056

Fax

(910) 272-9057

NPI assigned

Dec 14, 2006

Last updated

Jul 16, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Debra O Dickerson, CCC-SLPNPI 1386799047

Title

Speech Pathologist

Phone

(910) 272-9056

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Debra O Dickerson, CCC-SLP

  • Speech-Language Pathologist
  • Lumberton, NC
  • NPI 1386799047
  Authorized official Same address or phone
• Christian D Carver, MS CCC-SLP

  • Speech-Language Pathologist
  • Fayetteville, NC
  • NPI 1295208049
  NPD (past)
• Gina Rebekah Rozier, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Hope Mills, NC
  • NPI 1558423558
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373932800000",
    "number": "1033271127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 LIBERTY HILL RD",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582442",
            "telephone_number": "910-272-9056",
            "fax_number": "910-272-9057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 LIBERTY HILL RD",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582442",
            "telephone_number": "910-272-9056",
            "fax_number": "910-272-9057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL SPEECH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2013-07-16",
        "status": "A",
        "authorized_official_last_name": "DICKERSON",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "910-272-9056",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "3553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7211989",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "28528",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Faith T Clingempeel, RD
• CM Presaboelz LLC
• Coastal Childrens Services PLLC (CCS Lumberton)
• Coastal Hearing Centers, Inc
• Coastal Speech and Reading Center
• Tori Jade Coble, DO
• Shelley Coe-Tomlinson
• Derick Marcel Coe, MPT
• Cole Coastal Therapy LLC (Cole Academy)
• Colin P Osborne III DDS PA

• Speech-Language Pathologist in Lumberton, NC
• Providers in Lumberton, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.