Janelle Libretto, CCC-SLP

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

NPI 1083058960 · NPPES record last updated Apr 23, 2013

Key facts

NPI: 1083058960
Entity type: Individual (NPI type 1)
Primary specialty: Speech-Language Pathologist 235Z00000X
License: 10363 (NC)
Practice address: 58 Office Park Dr
Jacksonville, NC 28546-3218
Phone: (910) 353-2440
Fax: (910) 219-7727
NPI assigned: Apr 23, 2013
Sex: Female
Sole proprietor: Yes

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.

Speech 4 Kidz, Inc Speech-Language Pathologist · Hampstead, NC · NPI 1275167975

NPD (past) SPEECH-LANGUAGE PATHOLOGIST

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD): No

Practice roles

Organization	Specialty	Status	New patients
Speech 4 Kidz, Inc	Speech-Language Pathologist	Past since Mar 9, 2020	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Speech-Language Pathologist	235Z00000X	10363	NC	Yes

Addresses

Primary practice location

58 Office Park Dr
Jacksonville, NC 28546-3218

Mailing address

5919 Oleander Dr
119
Wilmington, NC 28403-4780
Phone (910) 395-2995

Other providers in Jacksonville, NC

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

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2013. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.