Provider Demographics
NPI:1366091944
Name:BLUE RIDGE SPEECH AND VOICE
Entity type:Organization
Organization Name:BLUE RIDGE SPEECH AND VOICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH-LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:
Authorized Official - Last Name:HALDER
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-SLP
Authorized Official - Phone:828-222-3824
Mailing Address - Street 1:525 SILENT ACRES RD
Mailing Address - Street 2:
Mailing Address - City:WAYNESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28785-8304
Mailing Address - Country:US
Mailing Address - Phone:828-222-3824
Mailing Address - Fax:828-575-5874
Practice Address - Street 1:525 SILENT ACRES RD
Practice Address - Street 2:
Practice Address - City:WAYNESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28785-8304
Practice Address - Country:US
Practice Address - Phone:828-222-3824
Practice Address - Fax:828-575-5874
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-06
Last Update Date:2021-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty