Organization
A TO Z SPEECH THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALIYA BOONE CCC-SLP (PRESIDENT/SPEECH LANGUAGE PATHOLOGI)
(919) 389-8907
Entity
Organization
Contact information
Practice address
212 W MOSS CREEK DR, CLAYTON, NC 27520-6912
(919) 389-8907
Mailing address
212 W MOSS CREEK DR, CLAYTON, NC 27520-6912
(919) 389-8907
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7294
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7412584
—
NC
Enumeration date
06/01/2012
Last updated
06/01/2012
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