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Contact Information

BLUE RIDGE PEDIATRIC THERAPY LLC
46 WINDANCE DR
CARRIERE, MS39426-7947
 Phone: 985-502-3101
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for BLUE RIDGE PEDIATRIC THERAPY LLC · (Female)

NPI Number 1164350013
Status Active
Credentials
Entity Individual
Enumeration date 05/11/2026
Last updated 05/11/2026 - About a month ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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