Provider Demographics
NPI:1558799338
Name:VOX PENITA INC.
Entity Type:Organization
Organization Name:VOX PENITA INC.
Other - Org Name:CONNECTIONS SPEECH AND LANGUAGE THERAPY, LLP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:KRISTEN
Authorized Official - Middle Name:KERSHAW
Authorized Official - Last Name:SWANSON
Authorized Official - Suffix:
Authorized Official - Credentials:MED, CCC-SLP
Authorized Official - Phone:828-275-2493
Mailing Address - Street 1:131 MCDOWELL ST
Mailing Address - Street 2:SUITE 203
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-4453
Mailing Address - Country:US
Mailing Address - Phone:828-275-2493
Mailing Address - Fax:828-298-2106
Practice Address - Street 1:131 MCDOWELL ST
Practice Address - Street 2:SUITE 203
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-4453
Practice Address - Country:US
Practice Address - Phone:828-275-2493
Practice Address - Fax:828-298-2106
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-14
Last Update Date:2014-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6894235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7412464Medicaid
11612352OtherCAQH
NC1215094289OtherINDIVIDUAL NPI
NC7412464Medicaid