Organization
JAESAN PC
Active
Other names
SpeechWorks Therapy Services
Organization subpart
No
Provider details
NPI number
Authorized official
KAI ANE JERRELL M.A., CCC-SLP (CEO/OWNER)
(980) 237-6226
Entity
Organization
Contact information
Practice address
3116 MILTON RD STE F, CHARLOTTE, NC 28215-5079
(980) 237-6226
(980) 237-6288
Mailing address
3116 MILTON RD STE F, CHARLOTTE, NC 28215-5079
(980) 237-6226
(980) 237-6288
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
5842
NC
235Z00000X
Speech-Language Pathologist
6278
NC
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7212056
—
NC
05
—
7411868
—
NC
Enumeration date
03/15/2007
Last updated
10/27/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us