Provider Demographics
NPI:1144891003
Name:CAROLINA SPEECH THERAPY SERVICES, PLLC
Entity type:Organization
Organization Name:CAROLINA SPEECH THERAPY SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ANNALEE
Authorized Official - Middle Name:C
Authorized Official - Last Name:RUFFALO
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:570-616-5433
Mailing Address - Street 1:341 WRIGHT RD
Mailing Address - Street 2:
Mailing Address - City:KINGS MOUNTAIN
Mailing Address - State:NC
Mailing Address - Zip Code:28086-8943
Mailing Address - Country:US
Mailing Address - Phone:570-616-5433
Mailing Address - Fax:704-710-8085
Practice Address - Street 1:341 WRIGHT RD
Practice Address - Street 2:
Practice Address - City:KINGS MOUNTAIN
Practice Address - State:NC
Practice Address - Zip Code:28086-8943
Practice Address - Country:US
Practice Address - Phone:570-616-5433
Practice Address - Fax:704-710-8085
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-01
Last Update Date:2022-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty