Eastern Wake Speech Therapy, LLC
Organization Active NPI Speech-Language Pathologist · Zebulon, NC
NPI 1497094536 · NPPES record last updated Mar 27, 2017
Key facts
- NPI
- 1497094536
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 6369 (NC)
- Legal business name
- EASTERN WAKE SPEECH THERAPY, LLC
- Practice address
- 13270 Brantley Woods Rd
Zebulon, NC 27597 - Phone
- (919) 909-3577
- Fax
- (919) 375-4469
- NPI assigned
- Feb 9, 2013
- Organization subpart
- No
Authorized official
- Name
- Mrs. Amanda Cottle Kapl, MS, CCC-SLP
- Title
- Speech/Language Pathologist
- Phone
- (919) 909-3577
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist |
235Z00000X | 6369 | NC | Yes |
Addresses
Primary practice location
13270 Brantley Woods Rd
Zebulon, NC 27597
Mailing address
PO Box 1065
Zebulon, NC 27597-1065
Phone (919) 909-3577
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All providers in Zebulon, 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 Mar 27, 2017. 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.