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Organization
PEDIATRIC SPEECH & LANGUAGE SERVICES INC
Active
Organization
PEDIATRIC SPEECH & LANGUAGE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAREN JACKSON PARRISH M.ED, CCC/SLP LSLS C (OWNER/THERAPIST)
(336) 294-8091
Entity
Organization
Contact information
Practice address
3201 W MARKET ST, GREENSBORO, NC 27403-1455
(336) 541-8167
(336) 663-0266
Mailing address
PO BOX 9804, GREENSBORO, NC 27429-0804
(336) 541-8167
(336) 663-0266
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
NC
235Z00000X
Speech-Language Pathologist
Primary
1174
NC
235Z00000X
Speech-Language Pathologist
—
NC
252Y00000X
Early Intervention Provider Agency
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
740236B
—
NC
05
—
8303400
—
NC
Enumeration date
02/01/2007
Last updated
04/24/2017
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