Provider Demographics
NPI:1144311374
Name:SPOKEN PRECISION LLC
Entity type:Organization
Organization Name:SPOKEN PRECISION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANG. PATHOLOGIST/PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:TOINETTE
Authorized Official - Middle Name:CHRISTINE
Authorized Official - Last Name:LAGUERRE
Authorized Official - Suffix:
Authorized Official - Credentials:MS,CCC-SLP
Authorized Official - Phone:704-975-7008
Mailing Address - Street 1:598 INDIAN TRAIL RD S
Mailing Address - Street 2:SUITE 141
Mailing Address - City:INDIAN TRAIL
Mailing Address - State:NC
Mailing Address - Zip Code:28079-8689
Mailing Address - Country:US
Mailing Address - Phone:704-975-7008
Mailing Address - Fax:704-821-0570
Practice Address - Street 1:598 INDIAN TRAIL RD S
Practice Address - Street 2:SUITE 141
Practice Address - City:INDIAN TRAIL
Practice Address - State:NC
Practice Address - Zip Code:28079-8689
Practice Address - Country:US
Practice Address - Phone:704-975-7008
Practice Address - Fax:704-821-0570
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-26
Last Update Date:2008-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2702225X00000X
NC4957235Z00000X
NC5952235Z00000X
NC252Y00000X
NC6738235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No252Y00000XAgenciesEarly Intervention Provider AgencyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7212066Medicaid