Organization
INNOVATIVE THERAPY SOLUTIONS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATRINA GREEN PASCHALL M.ED (OWNER/SPEECH LANGUAGE PATHOLOGIST)
(770) 807-5829
Entity
Organization
Contact information
Practice address
2084 LONGWOOD DR, CREEDMOOR, NC 27522-8110
(866) 611-2144
(866) 209-1103
Mailing address
2084 LONGWOOD DR, CREEDMOOR, NC 27522-8110
(866) 611-2144
(866) 209-1103
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10541
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477780377
—
NC
Enumeration date
04/10/2014
Last updated
04/10/2014
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