Organization
ALBEMARLE SPEECH & LANGUAGE CTR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HILARY AYERS DIETRICH M.S., ED., CCC-SLP (OWNER/OPERATOR)
(252) 619-5299
Entity
Organization
Contact information
Practice address
309 SELDEN ST, ELIZABETH CITY, NC 27909-4661
(252) 619-5299
(252) 207-0450
Mailing address
309 SELDEN ST, ELIZABETH CITY, NC 27909-4661
(252) 619-5299
(252) 207-0450
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
4702
NC
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018Y1
BCBS
NC
05
—
7211836
—
NC
Enumeration date
03/02/2007
Last updated
07/09/2013
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