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Organization

BEACON SPEECH ASSOCIATES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALISON MATTOS DELORME MA, CCC-SLP (OWNER)
(919) 440-5786
Entity
Organization

Contact information

Practice address
804 SARAZEN DR, CLAYTON, NC 27527-3921
(919) 440-5786
(919) 573-0759
Mailing address
PO BOX 629, CLAYTON, NC 27528-0629
(919) 440-5786
(919) 573-0759

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7200286
NC
Enumeration date
08/21/2009
Last updated
07/05/2013
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