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Organization
SPEECH 4 KIDZ
Active
Organization
SPEECH 4 KIDZ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY HOWARD MS, CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(910) 395-2995
Entity
Organization
Contact information
Practice address
5919 OLEANDER DR, #120, WILMINGTON, NC 28403-4780
(910) 395-2995
Mailing address
5919 OLEANDER DR, #120, WILMINGTON, NC 28403-4780
(910) 395-2995
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023030650010
PENNSYLVANIA DEPT OF PUBLIC WELFARE MEDICAL ASSISTANCE PROVIDER
PA
Enumeration date
11/19/2009
Last updated
12/23/2019
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