Organization
CAROLINA SPEECH PATHOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STUART BRADLEY (OWNER)
(919) 302-2990
Entity
Organization
Contact information
Practice address
408 BRIERRIDGE DR, APEX, NC 27502-4239
(919) 302-2990
(919) 342-4613
Mailing address
408 BRIERRIDGE DR, APEX, NC 27502-4239
(919) 302-2990
(919) 342-4613
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3237
NC
Other
Enumeration date
07/07/2006
Last updated
08/22/2020
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