Provider Demographics
NPI:1972276400
Name:STEP BY STEP SPEECH THERAPY PLLC
Entity Type:Organization
Organization Name:STEP BY STEP SPEECH THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:TYLER
Authorized Official - Middle Name:ELASTHER
Authorized Official - Last Name:EVANS
Authorized Official - Suffix:
Authorized Official - Credentials:CCC-SLP
Authorized Official - Phone:919-408-1457
Mailing Address - Street 1:4711 HOPE VALLEY RD
Mailing Address - Street 2:#316 SUITE 4-F
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707
Mailing Address - Country:US
Mailing Address - Phone:919-408-1457
Mailing Address - Fax:
Practice Address - Street 1:2850 COURTNEY CREEK BLVD APT 321
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-1667
Practice Address - Country:US
Practice Address - Phone:919-408-1457
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-30
Last Update Date:2021-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty