Provider Demographics
NPI:1295449940
Name:BABY BITES SPEECH AND FEEDING THERAPY, LLC.
Entity type:Organization
Organization Name:BABY BITES SPEECH AND FEEDING THERAPY, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SLP/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:JENNINGS
Authorized Official - Last Name:BURTTRAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-909-0363
Mailing Address - Street 1:333 CIRCLE AVE APT I
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28207-1440
Mailing Address - Country:US
Mailing Address - Phone:843-909-0363
Mailing Address - Fax:844-457-6887
Practice Address - Street 1:333 CIRCLE AVE APT I
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28207-1440
Practice Address - Country:US
Practice Address - Phone:843-909-0363
Practice Address - Fax:844-457-6887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-09
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty