Lasting Impact Speech Therapy
NPI #1023657202 in Charlotte, North Carolina
Provider Information
- NPI Number
- 1023657202
- Entity Type
- Organization
- Organization Name
- Lasting Impact Speech Therapy
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Jan 5, 2020
- Last Updated
- Jan 5, 2020
Practice Location
- Address
- 8627 MINERAL RIDGE WAY
- City
- Charlotte
- State
- North Carolina
- ZIP Code
- 28269-6148
- Phone
- (803) 543-9988
Authorized Official
- Name
- DR. SHAVERRA JONES, CLINSCD, CCC-SLP
- Title
- OWNER
- Phone
- (803) 543-9988
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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