Provider Demographics
NPI:1003966599
Name:SPEECH AND THERAPY SOLUTIONS
Entity Type:Organization
Organization Name:SPEECH AND THERAPY SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TRINA
Authorized Official - Middle Name:M
Authorized Official - Last Name:TARLTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-289-6160
Mailing Address - Street 1:PO BOX 11
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NC
Mailing Address - Zip Code:28111-0011
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:211 W JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NC
Practice Address - Zip Code:28112-4713
Practice Address - Country:US
Practice Address - Phone:704-289-6160
Practice Address - Fax:704-238-0193
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCO15RGOtherBLUE CROSS BLUE SHIELD
SCW05585NC1Medicaid
NC7211503Medicaid