Organization
SPENCER SPEECH THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SPENCER TOWNSEND SHUFORD CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST/OWNER)
(828) 773-9195
Entity
Organization
Contact information
Practice address
245 WINKLERS CREEK RD STE C, BOONE, NC 28607-7838
(828) 773-9195
(844) 906-2433
Mailing address
PO BOX 252, DEEP GAP, NC 28618-0252
(828) 773-9195
(844) 906-2433
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205496163
WELL CARE
NC
05
—
1205496163
—
NC
Enumeration date
03/18/2021
Last updated
03/18/2021
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