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SOUTHPORT SPEECH AND LANGUAGE, PLLC
NPI 1386465045
Speech-Language Pathologist in Bolivia, NC

Active since October 24, 2024
1746 E CORONADO AVE SE, BOLIVIA, NC 28422(336) 404-4802 Get Directions Write a Review

NPPES record last updated: October 24, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Southport Speech And Language, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHPORT SPEECH AND LANGUAGE, PLLC (NPI 1386465045) is a healthcare organization registered as a speech-language pathologist in Bolivia, North Carolina and active in the NPI registry since October 2024. The organization lists Laura Ann Mcdaniel O'connell, Owner, as its authorized official.

NPPES Registry Identity

NPI1386465045
Entity TypeOrganization
Primary Taxonomy235Z00000X
Legal Business NameSOUTHPORT SPEECH AND LANGUAGE, PLLC
Location Address1746 E CORONADO AVE SEBolivia, NC 28422-0900
Mailing Address1746 E Coronado Ave SeBolivia, NC 28422-0900 · (336) 404-4802
Phone(336) 404-4802
Organization SubpartNo
Authorized OfficialLaura Ann Mcdaniel O'connellOwner · (336) 404-4802
Enumeration DateOctober 24, 2024
NPPES CertifiedOctober 24, 2024
✔ NPI 1386465045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Definition
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.
1746 E CORONADO AVE SE, Bolivia, NC 28422
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Other Identifiers 3

Other1740839695Npi
Other14966NC · State
Medicaid7413660NC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southport Speech And Language, PLLC's NPI number?

The NPI number for Southport Speech And Language, PLLC is 1386465045. It was assigned to this organization in the NPPES registry on October 24, 2024.

Where is Southport Speech And Language, PLLC located?

Southport Speech And Language, PLLC is located at 1746 E Coronado Ave SE, Bolivia, NC 28422. The listed phone number is (336) 404-4802.

What is Southport Speech And Language, PLLC's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

What insurance does Southport Speech And Language, PLLC accept?

Health plans from Blue Cross and Blue Shield of NC list Southport Speech And Language, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Southport Speech And Language, PLLC was last updated on October 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.