Provider Demographics
NPI:1437341666
Name:SPEECH TECHNIQUES, PA
Entity Type:Organization
Organization Name:SPEECH TECHNIQUES, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH PATHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:ARCHER
Authorized Official - Suffix:
Authorized Official - Credentials:MSP CCC SLP
Authorized Official - Phone:704-575-4222
Mailing Address - Street 1:11026 ASBURY CHAPEL RD
Mailing Address - Street 2:
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078-4625
Mailing Address - Country:US
Mailing Address - Phone:704-575-4222
Mailing Address - Fax:704-875-7112
Practice Address - Street 1:11026 ASBURY CHAPEL RD
Practice Address - Street 2:
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078-4625
Practice Address - Country:US
Practice Address - Phone:704-575-4222
Practice Address - Fax:704-875-7112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-12
Last Update Date:2007-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4275235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7411433Medicaid
NC7212148Medicaid