Provider Demographics
NPI:1497454060
Name:CAROLINA SPEECH WORKS, PLLC
Entity Type:Organization
Organization Name:CAROLINA SPEECH WORKS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:MORGAN
Authorized Official - Middle Name:SULLIVAN
Authorized Official - Last Name:LAIL
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:252-245-4039
Mailing Address - Street 1:6304 OLD RALEIGH RD
Mailing Address - Street 2:
Mailing Address - City:SIMS
Mailing Address - State:NC
Mailing Address - Zip Code:27880-9405
Mailing Address - Country:US
Mailing Address - Phone:252-245-4039
Mailing Address - Fax:
Practice Address - Street 1:6304 OLD RALEIGH RD
Practice Address - Street 2:
Practice Address - City:SIMS
Practice Address - State:NC
Practice Address - Zip Code:27880-9405
Practice Address - Country:US
Practice Address - Phone:252-245-4039
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-02
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty