Triangle Speech Services

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

3178 Issued in NC

Legal business name

TRIANGLE SPEECH SERVICES

Practice address

5500 Fortunes Ridge Dr
Unit 74C
Durham, NC 27713-9365

Phone

(919) 489-5464

Fax

(919) 489-5464

NPI assigned

Jun 18, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Judith L. Bergman, MA CCC

Title

Owner, Speech-Language Pathologist

Phone

(919) 489-5464

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1508801127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 FORTUNES RIDGE DR",
            "address_2": "UNIT 74C",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277139365",
            "telephone_number": "919-489-5464",
            "fax_number": "919-489-5464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 FORTUNES RIDGE DR",
            "address_2": "UNIT 74C",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277139365",
            "telephone_number": "919-489-5464",
            "fax_number": "919-489-5464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIANGLE SPEECH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2008-07-22",
        "status": "A",
        "authorized_official_last_name": "BERGMAN",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER, SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "919-489-5464",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA CCC"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "3178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Durham, NC
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• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2008; 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.