PEDIATRIC SPEECH LANGUAGE THERAPY, PLLC
NPI 1770988669
Day Training, Developmentally Disabled Services in Elizabeth City, NC

Q: What is Pediatric Speech Language Therapy, PLLC's specialty?

The primary specialty registered for this NPI is Day Training, Developmentally Disabled Services with taxonomy code 251C00000X.

Active since November 04, 2014

1216 CRESCENT DR, ELIZABETH CITY, NC 27909(252) 339-8145(252) 338-9156 Get Directions Write a Review

NPPES record last updated: November 4, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Pediatric Speech Language Therapy, Pllc NPPES

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

PEDIATRIC SPEECH LANGUAGE THERAPY, PLLC (NPI 1770988669) is a healthcare organization registered as a day training, developmentally disabled services in Elizabeth City, North Carolina and active in the NPI registry since November 2014. The organization lists Rebecca Soldan Broadfoot, Speech-language Pathologist, as its authorized official.

NPPES Registry Identity

NPI1770988669

Entity TypeOrganization

Primary Taxonomy251C00000X

Legal Business NamePEDIATRIC SPEECH LANGUAGE THERAPY, PLLC

Location Address1216 CRESCENT DRElizabeth City, NC 27909-6652

Mailing Address1216 Crescent DrElizabeth City, NC 27909-6652 · (252) 339-8145 · Fax (252) 338-9156

Phone(252) 339-8145

Fax(252) 338-9156

Organization SubpartNo

Authorized OfficialRebecca Soldan BroadfootSpeech-language Pathologist · (252) 339-8145

Enumeration DateNovember 4, 2014

✔ NPI 1770988669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDay Training, Developmentally Disabled ServicesAgencies

Taxonomy Code251C00000X

License✔ Licensed in NC · 11106

Definition

These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.

1216 CRESCENT DR, Elizabeth City, NC 27909

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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 Pediatric Speech Language Therapy, PLLC's NPI number?

The NPI number for Pediatric Speech Language Therapy, PLLC is 1770988669. It was assigned to this organization in the NPPES registry on November 4, 2014.

Where is Pediatric Speech Language Therapy, PLLC located?

Pediatric Speech Language Therapy, PLLC is located at 1216 Crescent Dr, Elizabeth City, NC 27909. The listed phone number is (252) 339-8145.

What is Pediatric Speech Language Therapy, PLLC's specialty?

The primary specialty registered for this NPI is Day Training, Developmentally Disabled Services with taxonomy code 251C00000X.

When was this NPI record last updated?

The NPPES record for Pediatric Speech Language Therapy, PLLC was last updated on November 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.