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Organization
SPEECH&LANGUAGE FOUNDATION PLLC
Active
Organization
SPEECH&LANGUAGE FOUNDATION PLLC
Active
Other names
Need Speech
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SONYA EVANS OATES MSCCC-SLP (OWNER)
(910) 488-7309
Entity
Organization
Contact information
Practice address
5330 RAEFORD RD, FAYETTEVILLE, NC 28304-3074
(910) 488-4100
(910) 483-8721
Mailing address
PO BOX 26034, FAYETTEVILLE, NC 28314-5017
(910) 488-4100
(910) 483-8721
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8300112
—
NC
Enumeration date
04/03/2007
Last updated
10/14/2014
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