Provider Demographics
NPI:1033515499
Name:SPEECH MATTERS
Entity Type:Organization
Organization Name:SPEECH MATTERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIE
Authorized Official - Middle Name:ASHLYN
Authorized Official - Last Name:LELEJ
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:704-307-9541
Mailing Address - Street 1:16147 LANCASTER HWY
Mailing Address - Street 2:SUITE 130
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28277-2050
Mailing Address - Country:US
Mailing Address - Phone:704-307-9541
Mailing Address - Fax:704-540-1197
Practice Address - Street 1:16147 LANCASTER HWY
Practice Address - Street 2:SUITE 130
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28277-2050
Practice Address - Country:US
Practice Address - Phone:704-307-9541
Practice Address - Fax:704-540-1197
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-13
Last Update Date:2017-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6505235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty