Organization
CHITTER CHATTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LUCAS THOMAS M.S. (SPEECH-LANGUAGE PATHOLOGIST)
(919) 609-5643
Entity
Organization
Contact information
Practice address
4820 STUDBURY HALL CT, WAKE FOREST, NC 27587-9800
(919) 609-5643
(919) 435-0924
Mailing address
4820 STUDBURY HALL CT, WAKE FOREST, NC 27587-9800
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7200494
—
NC
Enumeration date
02/03/2012
Last updated
09/17/2021
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