Elisabeth Story
Individual provider Active NPI Speech-Language Pathologist · Fayetteville, NC
NPI 1770928178 · NPPES record last updated Apr 30, 2013
Key facts
- NPI
- 1770928178
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 9971 (NC)
- Practice address
- 3001 Southridge CT
Fayetteville, NC 28306-8174 - Phone
- (252) 633-6770
- Fax
- (877) 335-6220
- NPI assigned
- Apr 30, 2013
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9971 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Storytime Speech Therapy, PLLC | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 9971 | NC | Yes |
Addresses
Primary practice location
3001 Southridge CT
Fayetteville, NC 28306-8174
Mailing address
3001 Southridge CT
Fayetteville, NC 28306-8174
Phone (252) 633-6770
Other providers in Fayetteville, NC
- Johnnie Stone
- Kellea E Stone
- Terri Angela Storms
- Vanecia Storms
- Alicia Story
- Madison Taylor Stoudt
- Paul Edward Stout
- Sanqlavis Stover
- Justeen Strachn
- Joni Strange
All providers in Fayetteville, 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 Apr 30, 2013. 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.