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NOURISHED ROOTS THERAPY SERVICES NPI 1699551101


NPI Information

NPI: 1699551101
Provider Name: NOURISHED ROOTS THERAPY SERVICES
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Organization
Address:
900 CLEARHAVEN LN
FUQUAY VARINA, NC
ZIP 27526
Phone: (919) 763-7326
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NOURISHED ROOTS THERAPY SERVICES is a speech language pathologist in Fuquay Varina, NC. The provider is 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. NOURISHED ROOTS THERAPY SERVICES NPI is 1699551101. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

900 CLEARHAVEN LN
FUQUAY VARINA, NC
ZIP 27526-340
Phone: (919) 763-7326

The provider's authorized official is Jena Leigh Bruno .
The authorized official title is Speech- Language Pathologist and has the following contact phone number (919) 763-7326.

The enumeration date for this NPI number is 8/31/2023 and was last updated on 8/31/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225X00000XOccupational TherapistNo
2235Z00000XSpeech-Language PathologistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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