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Organization
SPEECH AND LANGUAGE REHABILITATION SERVICES, INC.
Active
Organization
SPEECH AND LANGUAGE REHABILITATION SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NELLIE HERRING HUDSON MS, CCC,SLP (SPEECH PATHOLOGIST,PRESIDENT)
(910) 299-0700
Entity
Organization
Contact information
Practice address
600 SUNSET AVE, CLINTON, NC 28328-3946
(910) 299-0700
(910) 299-0800
Mailing address
PO BOX 1414, CLINTON, NC 28329
(910) 299-0700
(910) 299-0800
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
SLP-A 0021
NC
2355S0801X
Speech-Language Assistant
SLP-A 0036
NC
2355S0801X
Speech-Language Assistant
SLP-A 0058
NC
2355S0801X
Speech-Language Assistant
SLP-A 0064
NC
2355S0801X
Speech-Language Assistant
SLP-A 0103
NC
2355S0801X
Speech-Language Assistant
SLP-A 0168
NC
235Z00000X
Speech-Language Pathologist
2717
NC
235Z00000X
Speech-Language Pathologist
6207
NC
235Z00000X
Speech-Language Pathologist
6808
NC
235Z00000X
Speech-Language Pathologist
6950
NC
235Z00000X
Speech-Language Pathologist
7671
NC
235Z00000X
Speech-Language Pathologist
7693
NC
235Z00000X
Speech-Language Pathologist
7899
NC
235Z00000X
Speech-Language Pathologist
Primary
932
NC
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0166Q
BCBS
NC
05
—
7210690
—
NC
05
—
7411318
—
NC
05
—
7412156
—
NC
05
—
7412837
—
NC
05
—
7412838
—
NC
05
—
7412848
—
NC
05
—
7413237
—
NC
05
—
7413581
—
NC
05
—
7444344
—
NC
05
—
8300101
—
NC
05
—
8300101K
—
NC
Enumeration date
12/19/2006
Last updated
10/19/2011
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