Dogwood Developmental Therapy

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

8028 Issued in NC

Legal business name

DOGWOOD DEVELOPMENTAL THERAPY

Practice address

16525 US Highway 17 N
#D
Hampstead, NC 28443-7440

Phone

(910) 824-4394

NPI assigned

Sep 10, 2016

Last updated

Jan 27, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stacy E Wilson, M.S.

Title

CCC-SLP

Phone

(910) 824-4394

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1473465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485475200000",
    "number": "1518414234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 MCPHEE DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055129",
            "telephone_number": "910-824-4394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16525 US HIGHWAY 17 N",
            "address_2": "#D",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284437440",
            "telephone_number": "910-824-4394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOGWOOD DEVELOPMENTAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-10",
        "last_updated": "2017-01-27",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CCC-SLP",
        "authorized_official_telephone_number": "910-824-4394",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "8028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Hampstead, NC
• Providers in Hampstead, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2017; 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.