| The Aspen Center Inc. | |
|
4328 Bland Road Raleigh NC 27609-6125 | |
| (919) 981-6588 | |
| (919) 981-6255 |
| Full Name | The Aspen Center Inc. |
|---|---|
| Speciality | Speech-language Pathologist |
| Location | 4328 Bland Road, Raleigh, North Carolina |
| Authorized Official Name and Position | Lisa Smith (PRESIDENT) |
| Authorized Official Contact | 9199816588 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Aspen Center Inc. 4328 Bland Road Raleigh NC 27609-6125 Ph: (919) 981-6588 | The Aspen Center Inc. 4328 Bland Road Raleigh NC 27609-6125 Ph: (919) 981-6588 |
| NPI Number | 1417080607 |
|---|---|
| Provider Enumeration Date | 03/14/2007 |
| Last Update Date | 07/25/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417080607 | NPI | - | NPPES |
| 018CC | Other | NC | BCBSNC GROUP NUMBER |
| 7211627 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | 3874 (North Carolina) | Primary |
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