Speech and Swallowing Specialist

Organization Active NPI Early Intervention Provider Agency · Ramseur, NC

NPI 1972986172 · NPPES record last updated Jul 7, 2015

Key facts

NPI
1972986172
Entity type
Organization (NPI type 2)
Primary specialty
Early Intervention Provider Agency 252Y00000X
License
4183 (NC)
Legal business name
SPEECH AND SWALLOWING SPECIALIST
Practice address
3208 Craven Branch Rd
Ramseur, NC 27316-8490
Phone
(336) 963-1043
Fax
(336) 615-8443
NPI assigned
Jul 7, 2015
Organization subpart
No

Authorized official

Name
Mrs. Maria Koenig, M.ED., CCC-SLP
Title
Speech Language Pathologist/Ceo
Phone
(336) 963-1043

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 4183 NC Yes

Addresses

Primary practice location

3208 Craven Branch Rd
Ramseur, NC 27316-8490

Mailing address

3208 Craven Branch Rd
Ramseur, NC 27316-8490
Phone (336) 963-1043

Other providers in Ramseur, NC

All providers in Ramseur, NC · Early Intervention Provider Agency in North Carolina

Sources for this page

Verify at the official NPI Registry.