Provider Demographics
NPI:1114972411
Name:SPEECH 4 KIDZ INC.
Entity Type:Organization
Organization Name:SPEECH 4 KIDZ INC.
Other - Org Name:SPEECH 4 KIDZ
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:NORED
Authorized Official - Last Name:HOWARD
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:910-470-7937
Mailing Address - Street 1:1651 VERRAZZANO DR
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28405-4225
Mailing Address - Country:US
Mailing Address - Phone:910-470-7937
Mailing Address - Fax:910-313-0951
Practice Address - Street 1:58 OFFICE PARK DR
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28546-3218
Practice Address - Country:US
Practice Address - Phone:910-353-2440
Practice Address - Fax:910-313-0951
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-24
Last Update Date:2019-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7211665Medicaid
NC7412574Medicaid
NC7411305Medicaid
NC7412550Medicaid
NC7412575Medicaid
NC7412551Medicaid