Gold Star Pediatric Speech Therapy
NPI #1316650674 in Clayton, North Carolina
Provider Information
- NPI Number
- 1316650674
- Entity Type
- Organization
- Organization Name
- Gold Star Pediatric Speech Therapy
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Jan 3, 2023
- Last Updated
- Jan 3, 2023
Practice Location
- Address
- 283 ASHPOLE TRL
- City
- Clayton
- State
- North Carolina
- ZIP Code
- 27520-1774
- Phone
- (336) 587-6902
Authorized Official
- Name
- KANESSIA SHEPARD, CCC-SLP
- Title
- SPEECH PATHOLOGIST
- Phone
- (336) 587-6902
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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