Salt and Light Speech Therapy, PLLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

SALT AND LIGHT SPEECH THERAPY, PLLC

Practice address

1005 Bay Rd SW
Shallotte, NC 28470-5341

Phone

(910) 840-4854

NPI assigned

Aug 9, 2024

Last updated

Aug 9, 2024By 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

Dori Faulk HewettNPI 1689025652

Title

Owner

Phone

(910) 840-4854

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, and the practitioner matching its NPPES authorized official.

• Dori Faulk Hewett

  • Speech-Language Pathologist
  • Shallotte, NC
  • NPI 1689025652
  NPD Authorized official

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

{
    "created_epoch": "1723161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723161600000",
    "number": "1801627104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 BAY RD SW",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284705341",
            "telephone_number": "910-840-4854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 BAY RD SW",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284705341",
            "telephone_number": "910-840-4854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALT AND LIGHT SPEECH THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-09",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A",
        "authorized_official_last_name": "HEWETT",
        "authorized_official_first_name": "DORI",
        "authorized_official_middle_name": "FAULK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-840-4854"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Rogers, LCSWA
• Heather Marie Rubino, LCSW
• Gregory Paul Rupp, D.D.S.
• Pamela Sabalos, LCSW
• Kelli Brewer Sabiston, MA, ATC, LAT
• Melissa Sanborn, RD
• Bryan C Satterwhite
• James Mark Saunders, O.D.
• Tiare Rena Scates, FNP
• Heather Sue Schaefer, MA., LCAS-A

• Speech-Language Pathologist in Shallotte, NC
• Providers in Shallotte, 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 Aug 9, 2024; 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.