Provider Demographics
NPI:1861948366
Name:PROGRESSIVE SPEECH SOLUTIONS, PLLC
Entity type:Organization
Organization Name:PROGRESSIVE SPEECH SOLUTIONS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:OGLESBY
Authorized Official - Last Name:BLAND
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:252-902-7636
Mailing Address - Street 1:301 SWANN TRL
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:NC
Mailing Address - Zip Code:27527-6504
Mailing Address - Country:US
Mailing Address - Phone:252-902-7636
Mailing Address - Fax:844-203-6128
Practice Address - Street 1:301 SWANN TRL
Practice Address - Street 2:
Practice Address - City:CLAYTON
Practice Address - State:NC
Practice Address - Zip Code:27527-6504
Practice Address - Country:US
Practice Address - Phone:252-902-7636
Practice Address - Fax:844-203-6128
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-25
Last Update Date:2016-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6108235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1093179327OtherSOLE PROVIDER NPI NUMBER