CAROLINA SPEECH SOURCE, LLC (NPI# 1881671394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881671394 |
| Entity Type | Organization |
| Organization Name | CAROLINA SPEECH SOURCE, LLC |
| Practice Address |
858 2nd St Ne Ste 101 Hickory NC 28601-3878 |
| Practice Telephone | 8283227826 |
| Mailing Telephone | 8283227826 |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2020-02-18 |
| Authorized Official Name | KATELYN DONOVAN (OWNER) |
| Authorized Official Telephone | 8283227826 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7211073 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1225 Commerce St Sw, Conover, NC 286138355 | 2832278268 | |
| 1880 N Center St, Hickory, NC 286011853 | 8283227826 | |
| 301 10th St Nw, Conover, NC 286132419 | 8283227826 | |
| 509 E Parker Rd, Morganton, NC 286555104 | 8283227826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184761132 | Carolina Speech Source, LLC | Community/Behavioral Health | 118 5th Ave Nw, Hickory, NC 28601-4929 | 2007-01-31 |
| Street Address |
858 2ND ST NE STE 101 |
| City | HICKORY |
| State | NC |
| Zip Code | 28601-3878 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194383919 | Elizabeth Kahrs Johanson | Speech-Language Pathologist | 858 2nd St Ne Ste 101, Hickory, NC 28601-3878 | 2019-06-05 |
| 1134603459 | Megan Hollar | Occupational Therapist | 858 2nd St Ne Ste 101, Hickory, NC 28601-3878 | 2018-09-21 |
| 1457834673 | Therapy Source LLC | Community/Behavioral Health | 858 2nd St Ne Ste 101, Hickory, NC 28601-3878 | 2018-09-13 |
| 1689155491 | Rachel Boisvert | Physical Therapist | 858 2nd St Ne Ste 101, Hickory, NC 28601-3878 | 2018-08-29 |
| 1144669565 | Sarah Christine Mcrary | Social Worker | 858 2nd St Ne Ste 101, Hickory, NC 28601-3878 | 2013-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417555236 | Mathew Ryan Dunn | Specialist/Technologist | 755 5th St Ne, Hickory, NC 28601 | 2020-10-14 |
| 1669086757 | Alex Neil Hines | Massage Therapist | 2759 North Center Street, Hickory, NC 28601 | 2020-09-04 |
| 1306327515 | Natasha Anderson | Nurse Practitioner | 2830 16th St Ne Apt 94, Hickory, NC 28601 | 2018-08-25 |
| 1902382120 | Danielle Marie Cisney | Counselor | 1219 10th Street Blvd Nw Apt F, Hickory, NC 28601 | 2018-07-11 |
| 1295243681 | Maggie Isabelle Mccarrick | Specialist/Technologist | 2225 6th St Nw, Hickory, NC 28601 | 2018-01-19 |
| 1487165395 | Healthstat Onsite Clinic Hsm Metal | Preventive Medicine | 180 Mcdonald Parkway Sw, Hickory, NC 28601 | 2017-10-18 |
| 1407249691 | Alexcia Dawn Pennell | Registered Nurse | 1501 Tate Blvd Sw, Suite 201, Hickory, NC 28601 | 2015-03-11 |
| 1134527484 | Pamilla Griffin Yount | Specialist | 825 3rd Ave. Nw, Hickory, NC 28601 | 2014-12-18 |
| 1831593615 | Josephine Lovelace Polhemus | Pharmacist | 12th Avenue Ne, Hickory, NC 28601 | 2014-10-22 |
| 1275957128 | Amy Lor | Acupuncturist | 46 Cloninger Mill Rd Ne Ste E, Hickory, NC 28601 | 2014-02-13 |
| Find all providers in zip 28601 | ||||
| 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 |
|---|---|---|---|---|
| 1437640125 | Kacie Marie Adkins | Speech-Language Pathologist | 1040 Southgate Corporate Park Sw, Hickory, NC 28602-1518 | 2018-05-29 |
| 1679008924 | Deirdre Hoffman-dugger | Speech-Language Pathologist | 220 13th Avenue Pl Nw, Hickory, NC 28601-2532 | 2017-04-25 |
| 1457732463 | Sarah Starnes | Speech-Language Pathologist | 100 Main Ave Nw, Suite 200, Hickory, NC 28601-6200 | 2015-06-16 |
| 1164836375 | Andrea Fite | Speech-Language Pathologist | 3635 Wandering Ln Ne, Hickory, NC 28601-8763 | 2014-06-16 |
| 1043559065 | Megan K Glasser | Speech-Language Pathologist | 17 Eberle Rd, Hickory, PA 15340-1416 | 2013-02-12 |
| 1992065734 | Stacy Pearson Harris | Speech-Language Pathologist | 2830 16th St Ne Apt 138, Hickory, NC 28601-8611 | 2012-05-28 |
| 1952674350 | Marla Samantha Crotts | Speech-Language Pathologist | 2042 10th Street Ln Nw, Hickory, NC 28601-1763 | 2012-02-15 |
| 1922394683 | Patricia Choate Allred | Speech-Language Pathologist | 5562 Clearlake Dr, Hickory, NC 28601-9485 | 2011-06-21 |
| 1265754303 | Linda Forrette | Speech-Language Pathologist | 1144 Lenoir Rhyne Blvd Se, Hickory, NC 28602-5168 | 2010-02-16 |
| 1306087978 | Lori F Hartley | Speech-Language Pathologist | 4131 S Fork Ave, Hickory, NC 28602-7429 | 2009-03-11 |
| Find all providers in HICKORY | ||||
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| 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.