# EIDSON SPEECH AND LANGUAGE SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104062710
- **Authorized official:** STACY C. EIDSON M.S., CCC/SLP (OWNER)
- **Authorized official phone:** (252) 382-1480

## Contact information

- **Practice address:** 600 MAYFAIR DR, ROCKY MOUNT, NC 27803-1180
- **Practice address phone:** (252) 382-1480
- **Practice address fax:** (252) 443-7554
- **Mailing address:** 600 MAYFAIR DR, ROCKY MOUNT, NC 27803-1180
- **Mailing address phone:** (252) 382-1480
- **Mailing address fax:** (252) 443-7554

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QH0700X | Hearing and Speech Clinic/Center | 5062 | NC | Yes |

## Other

- **Enumeration date:** 01/02/2009
- **Last updated:** 01/02/2009