Provider Demographics
NPI:1700161007
Name:LITTLE COMMUNICATORS
Entity Type:Organization
Organization Name:LITTLE COMMUNICATORS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/SPEECH THERAPIST
Authorized Official - Prefix:MISS
Authorized Official - First Name:EBONY
Authorized Official - Middle Name:PATRICE
Authorized Official - Last Name:CARPENTER
Authorized Official - Suffix:
Authorized Official - Credentials:MED, CCC-SLP
Authorized Official - Phone:919-332-8848
Mailing Address - Street 1:2320 HORTON RD
Mailing Address - Street 2:
Mailing Address - City:KNIGHTDALE
Mailing Address - State:NC
Mailing Address - Zip Code:27545-8591
Mailing Address - Country:US
Mailing Address - Phone:919-332-8848
Mailing Address - Fax:888-792-0765
Practice Address - Street 1:2320 HORTON RD
Practice Address - Street 2:
Practice Address - City:KNIGHTDALE
Practice Address - State:NC
Practice Address - Zip Code:27545-8591
Practice Address - Country:US
Practice Address - Phone:919-332-8848
Practice Address - Fax:888-792-0765
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-18
Last Update Date:2011-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9567235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty