Provider Demographics
NPI:1063051670
Name:EUPHONY SPEECH AND OROFACIAL MYOLOGY, PLLC
Entity type:Organization
Organization Name:EUPHONY SPEECH AND OROFACIAL MYOLOGY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MOLLY
Authorized Official - Middle Name:EILEEN
Authorized Official - Last Name:VACCARO
Authorized Official - Suffix:
Authorized Official - Credentials:M S, CCC-SLP
Authorized Official - Phone:704-800-5232
Mailing Address - Street 1:129 SWAMP ROSE DR
Mailing Address - Street 2:
Mailing Address - City:MOORESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28117-7587
Mailing Address - Country:US
Mailing Address - Phone:540-290-1620
Mailing Address - Fax:
Practice Address - Street 1:16501 NORTHCROSS DR STE D
Practice Address - Street 2:
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078-5040
Practice Address - Country:US
Practice Address - Phone:704-800-5232
Practice Address - Fax:704-765-4822
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-30
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty