Organization Active NPI

Crystal Clear Speech and Language Services

  • Speech-Language Pathologist
  • Greensboro, NC
National Provider Identifier
1457581613
Registry record updated Apr 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
5120 Issued in NC
Legal business name
CRYSTAL CLEAR SPEECH AND LANGUAGE SERVICES
Practice address
1901 Deidre CT
Greensboro, NC 27406-8697
Phone
(336) 638-4637
Fax
(336) 638-4637
NPI assigned
Jul 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2010

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
Owner
Phone
(336) 638-4637

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 5120 NC Primary

Addresses

Primary practice location

1901 Deidre CT
Greensboro, NC 27406-8697

Mailing address

1901 Deidre CT
Greensboro, NC 27406-8697
Phone (336) 638-4637

Other identifiers 1

IdentifierTypeStateIssuer
7411784MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1248220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270512000000",
    "number": "1457581613",
    "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": "336-638-4637",
            "fax_number": "336-638-4637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 DEIDRE CT",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274068697",
            "telephone_number": "336-638-4637",
            "fax_number": "336-638-4637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL CLEAR SPEECH AND LANGUAGE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-22",
        "last_updated": "2010-04-06",
        "status": "A",
        "authorized_official_last_name": "MCQUITTY",
        "authorized_official_first_name": "DEANA",
        "authorized_official_middle_name": "LACY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-638-4637",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "5120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7411784",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2010; 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.