Organization
BLOOMING SPEECH THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COURTNEY H PITT M.S., CCC-SLP (MEMBER/MANAGER/OWNER/SLP)
(252) 904-6047
Entity
Organization
Contact information
Practice address
800 SAINT PATRICK ST, TARBORO, NC 27886-3849
(252) 904-6047
(252) 563-5864
Mailing address
800 SAINT PATRICK ST, TARBORO, NC 27886-3849
(252) 904-6047
(252) 563-5864
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7138
NC
Other
Enumeration date
08/05/2013
Last updated
08/05/2013
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