Organization
CAPITOL CITY SPEECH THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY BARNES (OWNER/MANAGER)
(919) 577-6807
Entity
Organization
Contact information
Practice address
141 N MAIN ST, FUQUAY VARINA, NC 27526-1933
(919) 577-6807
Mailing address
141 N MAIN ST, FUQUAY VARINA, NC 27526-1933
(919) 577-6807
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
4178
NC
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8300172
—
NC
Enumeration date
09/23/2007
Last updated
07/02/2013
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