Provider Demographics
NPI:1245565126
Name:CHAPEL HILL CHILDREN'S THERAPY, P.A.
Entity Type:Organization
Organization Name:CHAPEL HILL CHILDREN'S THERAPY, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MS
Authorized Official - First Name:HANNAH
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:FOUTS
Authorized Official - Suffix:
Authorized Official - Credentials:MED, CCC-SLP
Authorized Official - Phone:919-219-3014
Mailing Address - Street 1:703 HIGHLAND TRL
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27516-8644
Mailing Address - Country:US
Mailing Address - Phone:919-219-3014
Mailing Address - Fax:888-284-4810
Practice Address - Street 1:703 HIGHLAND TRL
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27516-8644
Practice Address - Country:US
Practice Address - Phone:919-968-4580
Practice Address - Fax:919-968-4580
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-09
Last Update Date:2022-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225X00000X
NC4950235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty