NPI 1154408607

Sally Ray Miller Pidge

Organisation Specialist Charlotte, NC

Practice location

Address: 2301 Crown Point Executive Dr Suite E, Charlotte, NC 28227-6725
Phone: (704) 708-8314
Fax: (704) 708-8315

Authorised official

Name: Sally Ray Pidge
Title: Owner Therapist
Phone: (704) 708-8314

Registered specialties (2)

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 4234 (NC)

Other Specialist providers in North Carolina →

Speech-Language Pathologist

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence 2583 (NC)

Other Speech-Language Pathologist providers in North Carolina →

Registry record

NPI: 1154408607
Entity type: Organization
NPI issued: 1 Nov 2006
Record last updated: 11 Oct 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.