Active NPI
Crystal Clear Speech and Language Services
- Speech-Language Pathologist
- Greensboro, NC
National Provider Identifier
1457581613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 5120
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7411784 | Medicaid | NC |
National Provider Directory
National Provider DirectoryNPI 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.