| Capitol City Speech Therapy | |
|
141 N Main St Fuquay Varina NC 27526-1933 | |
| (919) 577-6807 | |
| Not Available |
| Full Name | Capitol City Speech Therapy |
|---|---|
| Speciality | Developmental Therapist |
| Location | 141 N Main St, Fuquay Varina, North Carolina |
| Authorized Official Name and Position | Tracy Barnes (OWNER/MANAGER) |
| Authorized Official Contact | 9195776807 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Capitol City Speech Therapy 141 N Main St Fuquay Varina NC 27526-1933 Ph: (919) 577-6807 | Capitol City Speech Therapy 141 N Main St Fuquay Varina NC 27526-1933 Ph: (919) 577-6807 |
| NPI Number | 1508052556 |
|---|---|
| Provider Enumeration Date | 09/23/2007 |
| Last Update Date | 07/02/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508052556 | NPI | - | NPPES |
| 8300172 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 222Q00000X | Developmental Therapist | 4178 (North Carolina) | Primary |
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