Organization
SPEECHNOW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY PETERSON JAMES MA, CCC-SLP (SPEECH PATHOLOGIST)
(910) 547-3782
Entity
Organization
Contact information
Practice address
313 BLUEBEECH LN, GREENVILLE, NC 27834-0526
(910) 547-3782
Mailing address
313 BLUEBEECH LN, GREENVILLE, NC 27834-0526
(910) 547-3782
Taxonomy
Speciality
Code
Description
License number
State
261QA3000X
Augmentative Communication Clinic/Center
Primary
5291
NC
Other
Enumeration date
08/17/2015
Last updated
08/17/2015
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