Organization
AMITY SPEECH THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER ANN SHELTON MS, CCC-SLP (OWNER/MEMBER)
(336) 963-0439
Entity
Organization
Contact information
Practice address
1030 FLATS AVE APT 302, MEBANE, NC 27302-9966
(336) 963-0439
Mailing address
PO BOX 333, EFLAND, NC 27243-0333
(336) 963-0439
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902389117
—
NC
Enumeration date
07/10/2020
Last updated
07/10/2020
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