Pediatric Communication Connection, PLLC
Organization Active NPI Speech-Language Pathologist · Lawndale, NC
NPI 1942969167 · NPPES record last updated Dec 15, 2021
Key facts
- NPI
- 1942969167
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Legal business name
- PEDIATRIC COMMUNICATION CONNECTION, PLLC
- Practice address
- 4528 Shuford Lake Rd
Lawndale, NC 28090-9030 - Phone
- (704) 473-2843
- Fax
- (704) 448-2014
- NPI assigned
- Dec 15, 2021
- Organization subpart
- No
Authorized official
- Name
- Jennifer G White, MS, CCC-SLP
- Title
- Owner/Lead SLP
- Phone
- (704) 473-2843
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist |
235Z00000X | Yes |
Addresses
Primary practice location
4528 Shuford Lake Rd
Lawndale, NC 28090-9030
Mailing address
4528 Shuford Lake Rd
Lawndale, NC 28090-9030
Phone (704) 473-2843
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194116723 | Medicaid | NC |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | pccspeechtherapy@gmail.com | Direct |
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All providers in Lawndale, 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 Dec 15, 2021. 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.