Advantage Speech Therapy LLC

Organization Active NPI Speech-Language Pathologist · Raleigh, NC

NPI 1740355262 · NPPES record last updated Jun 3, 2013

Key facts

NPI
1740355262
Entity type
Organization (NPI type 2)
Primary specialty
Speech-Language Pathologist 235Z00000X
Legal business name
ADVANTAGE SPEECH THERAPY LLC
Practice address
8402 Six Forks Rd Ste 101
Raleigh, NC 27615-3071
Phone
(919) 847-6773
Fax
(919) 847-6827
NPI assigned
Nov 21, 2006
Organization subpart
No

Authorized official

Name
Mr. Tim Peters
Title
Office Manager
Phone
(919) 847-6773

Practitioners 22

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

National Provider Directory

Locations

8402 Six Forks Rd
Ste 101
Raleigh, NC 27615
Phone (919) 847-6773

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist
Group: 193200000X MULTI-SPECIALTY GROUP
225XP0200X
Speech-Language Pathologist
Group: 193200000X MULTI-SPECIALTY GROUP
235Z00000X Yes

Addresses

Primary practice location

8402 Six Forks Rd Ste 101
Raleigh, NC 27615-3071

Mailing address

8402 Six Forks Rd Ste 101
Raleigh, NC 27615-3071
Phone (919) 847-6773

Other identifiers

IdentifierTypeStateIssuer
7411308MedicaidNC

Other providers in Raleigh, NC

All providers in Raleigh, NC · Speech-Language Pathologist in North Carolina

Sources for this page

Verify at the official NPI Registry.