Provider Demographics
NPI:1659890028
Name:CAROLINA SPEECH CONNECTIONS, PLLC
Entity Type:Organization
Organization Name:CAROLINA SPEECH CONNECTIONS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:BEN
Authorized Official - Middle Name:
Authorized Official - Last Name:TODYS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-233-3428
Mailing Address - Street 1:PO BOX 652
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NC
Mailing Address - Zip Code:28111-0652
Mailing Address - Country:US
Mailing Address - Phone:704-351-0190
Mailing Address - Fax:
Practice Address - Street 1:402 LANE ST
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NC
Practice Address - Zip Code:28112-5456
Practice Address - Country:US
Practice Address - Phone:704-233-3434
Practice Address - Fax:704-464-4774
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-16
Last Update Date:2021-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty