Organization
CHARLOTTE SPEECH AND HEARING CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHANNON LYNN TUCKER CCC-SLP (EXECUTIVE DIRECTOR)
(704) 523-8027
Entity
Organization
Contact information
Practice address
741 KENILWORTH AVENUE, SUITE 100, CHARLOTTE, NC 28204-2933
(704) 523-8027
(704) 523-8031
Mailing address
741 KENILWORTH AVENUE, SUITE 100, CHARLOTTE, NC 28204-2933
(704) 523-8027
(704) 523-8031
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
237600000X
Audiologist-Hearing Aid Fitter
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7001530
—
NC
05
—
7401042
—
NC
Enumeration date
10/23/2006
Last updated
10/16/2012
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