SUNDANCE KIDS SPEECH AND LANGUAGE THERAPY PLLC (NPI# 1053736512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053736512 |
| Entity Type | Organization |
| Organization Name | SUNDANCE KIDS SPEECH AND LANGUAGE THERAPY PLLC |
| Practice Address |
2033 Herbert Akins Rd Fuquay Varina NC 27526-8300 |
| Practice Telephone | 9195776135 |
| Mailing Telephone | 9195776135 |
| Enumeration Date | 2014-02-20 |
| Last Update Date | 2014-02-20 |
| Authorized Official Name | ANDREA DIANE BEHRNS-MILLER (OWNER) |
| Authorized Official Telephone | 9195776135 |
| Authorized Official Credential | M.A. CCC-SLP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 10184 | NC | Speech, Language and Hearing Service Providers |
| Street Address |
2033 HERBERT AKINS RD |
| City | FUQUAY VARINA |
| State | NC |
| Zip Code | 27526-8300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659784254 | Andrea Diane Behrns-miller | Speech-Language Pathologist | 2033 Herbert Akins Rd, Fuquay Varina, NC 27526-8300 | 2014-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336782721 | Leah C. Mcconkey | Speech-Language Pathologist | 305 Willow Grace Lane, Fuquay Varina, NC 27526 | 2019-10-18 |
| 1437617727 | Katherine Venable | Physician Assistant | 1418 N Main Street, Fuquay - Vanna, NC 27526 | 2019-03-06 |
| 1114403599 | Christine Newkirk | Social Worker | 344 Edgecroft Way, Fuquay Varina, NC 27526 | 2018-07-18 |
| 1851800536 | Pamela Trapp Johnson | Specialist | 196 Knight Estates Cir, Fuquay Varina, NC 27526 | 2017-09-25 |
| 1376908228 | Carrie Adeline Mitchell | Social Worker | 441 Leyland Cypress Ln, Fuquay Varina, NC 27526 | 2015-12-19 |
| 1235504267 | Keyana Sharlene Williams | Counselor | 602 E Academy St #205, Fuquay Varina, NC 27526 | 2015-12-02 |
| 1124452974 | Q1consultants, LLC | Community/Behavioral Health | 326 Daywood Creek Place, Fuquay, NC 27526 | 2013-08-29 |
| 1053759654 | Ellen Marie Macri | Developmental Therapist | 119 South Fuquay Avenue, Fuquay-varina, NC 27526 | 2013-06-05 |
| 1811239726 | Leslie H Yuan Gazdeck | Dentist | 1625 N Main St Ste 201, Fuquay Varina, NC 27526 | 2013-03-19 |
| 1093017725 | Joanne Scannell | Occupational Therapist | 119 South Fuquay Ave, Fuquay Varina, NC 27526 | 2010-12-01 |
| Find all providers in zip 27526 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205466323 | Speech Inspirations Pllc | Speech-Language Pathologist | 1924 Cinema Dr, Fuquay Varina, NC 27526-3202 | 2020-01-16 |
| 1336782721 | Leah C. Mcconkey | Speech-Language Pathologist | 305 Willow Grace Lane, Fuquay Varina, NC 27526 | 2019-10-18 |
| 1982268934 | Coy Edwin Garrett Jr. | Speech-Language Pathologist | 831 Red Oak Tree Dr, Fuquay Varina, NC 27526-4969 | 2019-04-25 |
| 1245777226 | Marissa Lee Cowan | Speech-Language Pathologist | 2102 Attend Xing, Fuquay Varina, NC 27526-3794 | 2017-01-27 |
| 1174991798 | Katrinna Anthony Sampson | Speech-Language Pathologist | 109 Bridge St, Fuquay Varina, NC 27526-1801 | 2015-09-14 |
| 1447667936 | Molly Kinton | Speech-Language Pathologist | 8125 Purfoy Rd, Fuquay Varina, NC 27526-8941 | 2014-07-16 |
| 1942629993 | Laura Lewis | Speech-Language Pathologist | 706 Noconia Pl, Fuquay Varina, NC 27526-6690 | 2014-04-07 |
| 1366784613 | Elsbeth S Steuck | Speech-Language Pathologist | 927 Sethcreek Dr, Fuquay Varina, NC 27526-5154 | 2013-03-25 |
| 1932415940 | Speak Easy Rehabilitation, Pllc | Speech-Language Pathologist | 465 Timber Meadow Lake Dr, Fuquay Varina, NC 27526-4923 | 2010-08-27 |
| 1861723454 | Catherine Smith Raynor | Speech-Language Pathologist | 1101 Old Bramble Ln, Fuquay Varina, NC 27526-6994 | 2010-01-20 |
| Find all providers in FUQUAY VARINA | ||||
| City | FUQUAY VARINA |
| Zip Code | 27526 |
Please comment or provide details below to improve the information on SUNDANCE KIDS SPEECH AND LANGUAGE THERAPY PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.