Organization Active NPI

Southern Speech Diagnostics PLLC

  • Speech-Language Pathologist
  • Southern Pines, NC
National Provider Identifier
1396989240
Registry record updated Apr 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7631 Issued in NC
Legal business name
SOUTHERN SPEECH DIAGNOSTICS PLLC
Practice address
36 Highland View Dr
Southern Pines, NC 28387-2151
Phone
(877) 773-8880
Fax
(877) 773-8880
NPI assigned
Apr 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2009

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

Authorized official

Name
Mrs. Julie Anne Siler, SLP-CCCNPI 1942444898
Title
President
Phone
(877) 773-8880

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 7631 NC Primary

Addresses

Primary practice location

36 Highland View Dr
Southern Pines, NC 28387-2151

Mailing address

36 Highland View Dr
Southern Pines, NC 28387-2151
Phone (877) 773-8880

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1240358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240358400000",
    "number": "1396989240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 HIGHLAND VIEW DR",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283872151",
            "telephone_number": "877-773-8880",
            "fax_number": "877-773-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 HIGHLAND VIEW DR",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283872151",
            "telephone_number": "877-773-8880",
            "fax_number": "877-773-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN SPEECH DIAGNOSTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-22",
        "last_updated": "2009-04-22",
        "status": "A",
        "authorized_official_last_name": "SILER",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "877-773-8880",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "SLP-CCC"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "7631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southern Pines, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2009; 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.