Carolina Speech & Language, PLLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

CAROLINA SPEECH & LANGUAGE, PLLC

Practice address

105 Skywater LN
Holly Springs, NC 27540-9489

Phone

(919) 244-8640

NPI assigned

Aug 29, 2013

Last updated

Aug 29, 2013By 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

Mrs. Kathryn C BoddickerNPI 1245315944

Title

Speech-Language Pathologist

Phone

(919) 244-8640

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.

• Kathryn Clay Boddicker, MS CC SLP

  • Speech-Language Pathologist
  • Holly Springs, NC
  • NPI 1245315944
  NPD (past) Authorized official

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

{
    "created_epoch": "1377734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377734400000",
    "number": "1821422585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 SKYWATER LN",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275409489",
            "telephone_number": "919-244-8640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 SKYWATER LN",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275409489",
            "telephone_number": "919-244-8640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA SPEECH & LANGUAGE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-29",
        "last_updated": "2013-08-29",
        "status": "A",
        "authorized_official_last_name": "BODDICKER",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "919-244-8640",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Carolina Non Emergency Medical Transportation
• Carolyn Brennan Haines, PH.D., P.C.
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• Casey Cape Nutrition, LLC
• Kevin M. Cassidy, LCSW
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• Speech-Language Pathologist in Holly Springs, NC
• Providers in Holly Springs, 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 29, 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.