Organization
E AND M SPEECH THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA ORAVITS SLP (MEMBER AND ORAGNIZER)
(919) 414-6615
Entity
Organization
Contact information
Practice address
681 BLACK ANGUS DR, GARNER, NC 27529-6838
(919) 414-6615
Mailing address
681 BLACK ANGUS DR, GARNER, NC 27529-6838
(919) 414-6615
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1184913618
INDIVIDUAL NPI
—
05
—
7413529
—
NC
Enumeration date
08/19/2014
Last updated
08/19/2014
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