Organization
FAMILY SPEECH THERAPY SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN S MALONEY MA, CCC/SLP (PRESIDENT/ORGANIZER)
(828) 406-0439
Entity
Organization
Contact information
Practice address
214 TARTAN RD, LUMBERTON, NC 28358-2691
(828) 406-0439
Mailing address
214 TARTAN RD, LUMBERTON, NC 28358-2691
(828) 406-0439
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3319
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7412679
—
NC
05
—
7412680
—
NC
Enumeration date
10/14/2008
Last updated
10/16/2008
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