Pediatric Developmental Therapy

LBN: Pediatric Developmental Therapy
Pediatric Developmental Therapy is an health care organization with primary practice located at 1289 Oliver St , Fayetteville NC 28304-4450. The organization recently has 4 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is the primary health care specialty. Pediatric Developmental Therapy can be contacted via phone (910) 483-8331, or through Boliek, Haden Payne via phone (910) 483-8331.

Contact Information

Primary practice address
1289 Oliver St Fayetteville NC 28304-4450
Fax: (910) 483-8335
Website:
Authorized official contact:
Name: Boliek, Haden Payne MSCCCSLP

Profile Details

NPI number 1730137779
LBN Legal business name Pediatric Developmental Therapy
DBA Doing business as
Authorized official Boliek, Haden Payne MSCCCSLP
Entity Organization
Organization subpart 1 No
Enumeration date May 4th, 2006
Last updated Aug 30th, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730137779 NPPES
North Carolina MEDICAID 7210315

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