Wake Forest Speech Therapy

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

8001 Issued in NC

Legal business name

WAKE FOREST SPEECH THERAPY

Practice address

406 Bakewell CT
Wake Forest, NC 27587-7468

Phone

(919) 390-4485

Fax

(919) 761-9673

NPI assigned

Feb 14, 2011

Organization subpart

No

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

Authorized official

Name

Linda Sue Worp, CCC-SLPNPI 1629235122

Title

Owner/ President

Phone

(909) 390-4485

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Linda Sue Worp, MS, CCC-SLP

  • Speech-Language Pathologist
  • Wake Forest, NC
  • NPI 1629235122
  NPD (past) Authorized official

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

{
    "created_epoch": "1297641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372377600000",
    "number": "1669779484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 BAKEWELL CT",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275877468",
            "telephone_number": "919-390-4485",
            "fax_number": "919-761-9673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 BAKEWELL CT",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275877468",
            "telephone_number": "919-390-4485",
            "fax_number": "919-761-9673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAKE FOREST SPEECH THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-14",
        "last_updated": "2013-06-28",
        "status": "A",
        "authorized_official_last_name": "WORP",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "OWNER/ PRESIDENT",
        "authorized_official_telephone_number": "909-390-4485",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "8001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wake Forest Optometry PA
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• Wake Forest Performance and Rehab
• Wake Forest Physical Therapy
• Wake Forest Urgent Care, PLLC
• Wake Heart and Vascular Associates P.a.
• Wake Skin Cancer Center, PA
• Wake Specialty Physicians
• Wake Specialty Physicians LLC

• All providers in Wake Forest, NC
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2013; 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.