Provider Demographics
NPI:1740325182
Name:ACCESS SPEECH THERAPY, INC.
Entity type:Organization
Organization Name:ACCESS SPEECH THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LEIGH
Authorized Official - Middle Name:MEARS
Authorized Official - Last Name:CHRISTIAN
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:919-618-2982
Mailing Address - Street 1:88 HAWKS NEST CIR.
Mailing Address - Street 2:
Mailing Address - City:SMITHFIELD
Mailing Address - State:NC
Mailing Address - Zip Code:27577-7505
Mailing Address - Country:US
Mailing Address - Phone:919-989-7739
Mailing Address - Fax:919-989-7739
Practice Address - Street 1:88 HAWKS NEST CIR.
Practice Address - Street 2:
Practice Address - City:SMITHFIELD
Practice Address - State:NC
Practice Address - Zip Code:27577-7505
Practice Address - Country:US
Practice Address - Phone:919-989-7739
Practice Address - Fax:919-989-7739
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6399235Z00000X
NC6365235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty