Provider Demographics
NPI:1790860740
Name:SPEECH AND READING THERAPY, INC.
Entity Type:Organization
Organization Name:SPEECH AND READING THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDEN
Authorized Official - Prefix:DR
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:WEATHERS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:919-827-2763
Mailing Address - Street 1:10020 CLOISTERS CLUB LN
Mailing Address - Street 2:#107
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28278-7592
Mailing Address - Country:US
Mailing Address - Phone:919-827-2763
Mailing Address - Fax:
Practice Address - Street 1:10020 CLOISTERS CLUB LN
Practice Address - Street 2:#107
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28278-7592
Practice Address - Country:US
Practice Address - Phone:919-827-2763
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-26
Last Update Date:2012-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5676261QH0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech