Organization Active NPI

Crystal Clear Speech and Language Services

  • Speech-Language Pathologist
  • Jamestown, NC
National Provider Identifier
1194370924
Registry record updated Aug 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
CRYSTAL CLEAR SPEECH AND LANGUAGE SERVICES
Practice address
5700 Riverdale Dr
Jamestown, NC 27282-9135
Phone
(336) 580-1793
NPI assigned
Aug 8, 2019
Last updated
Aug 8, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2019

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

Authorized official

Name
Dr. Deana Lacy McQuitty, CCC,SLP
Title
Speech Language Pathologist
Phone
(336) 580-1793

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X NU Primary

Addresses

Primary practice location

5700 Riverdale Dr
Jamestown, NC 27282-9135

Mailing address

1901 Deidre CT
Greensboro, NC 27406-8697
Phone (336) 580-1793

National Provider Directory

National Provider Directory

Locations

5700 Riverdale Dr
Jamestown, NC 27282
Phone (336) 580-1793

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565222400000",
    "number": "1194370924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 DEIDRE CT",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274068697",
            "telephone_number": "336-580-1793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 RIVERDALE DR",
            "city": "JAMESTOWN",
            "state": "NC",
            "postal_code": "272829135",
            "telephone_number": "336-580-1793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL CLEAR SPEECH AND LANGUAGE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-08",
        "last_updated": "2019-08-08",
        "status": "A",
        "authorized_official_last_name": "MCQUITTY",
        "authorized_official_first_name": "DEANA",
        "authorized_official_middle_name": "LACY",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "336-580-1793",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "CCC,SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamestown, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2019; 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.