About Speech, Speech and Language Therapy, PLLC
Organization Active NPI Speech-Language Pathologist · Clayton, NC
NPI 1902249451 · NPPES record last updated Jan 25, 2022
Key facts
- NPI
- 1902249451
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 9723 (NC)
- Legal business name
- ABOUT SPEECH, SPEECH AND LANGUAGE THERAPY, PLLC
- Practice address
- 311 Josiah Dr
Clayton, NC 27527-4248 - Phone
- (919) 585-6126
- Fax
- (919) 243-8229
- NPI assigned
- Apr 15, 2013
- Organization subpart
- No
Authorized official
- Name
- Jessica Masciarelli, M.S., CCC-SLP
- Title
- Speech-Language Pathologist
- Phone
- (919) 585-6126
Practitioners 1
-
Jessica Masciarelli, M.S., CCC-SLP
National Provider Directory
Locations
1660 E Booker Dairy Rd
Smithfield, NC 27577
Phone (919) 934-7611
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist |
235Z00000X | 9723 | NC | Yes |
Addresses
Primary practice location
311 Josiah Dr
Clayton, NC 27527-4248
Mailing address
311 Josiah Dr
Clayton, NC 27527-4248
Phone (919) 585-6126
Other practice location 1
54 Bexley Way
Clayton, NC 27527-3344
Phone (919) 585-6126
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7413615 | Medicaid | NC |
Other providers in Clayton, NC
- Abacus Early Intervention Services LLC
- Alexis Abbott
- Ihab Abdel-Aziz Abdel-Khalek
- Abil-OT
- Able Home Care Services
- Mohammad Yousif Abu-Salha
- Access Physical Therapy & Wellness, Inc
- Access Physical Therapy, LLC
- Harriette Elizabeth Adam
- Monica Lynette Adams
All providers in Clayton, 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 Jan 25, 2022. 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.