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Organization
SPEECH THERAPY CENTER OF HOLLY SPRINGS, P.C.
Active
Organization
SPEECH THERAPY CENTER OF HOLLY SPRINGS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON BURCHETT SCHIEDER M.A. CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST-OWNER)
(919) 342-5754
Entity
Organization
Contact information
Practice address
360 RALEIGH STREET, HOLLY SPRINGS, NC 27540
(919) 342-5754
(919) 552-0861
Mailing address
360 RALEIGH STREET, HOLLY SPRINGS, NC 27540
(919) 342-5754
(919) 552-0861
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
2980
NC
235Z00000X
Speech-Language Pathologist
Primary
5085
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018CV
BLUE CROSS BLUE SHIELD
NC
01
—
126AY
BLUE CROSS BLUE SHIELD
NC
05
—
7212036
—
NC
05
—
7411600
—
NC
05
—
7412516
—
NC
Enumeration date
01/16/2007
Last updated
08/22/2020
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