Provider Demographics
NPI:1154740835
Name:CLEAR COMMUNICATION CONSULTANTS
Entity type:Organization
Organization Name:CLEAR COMMUNICATION CONSULTANTS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:ROGER
Authorized Official - Middle Name:L
Authorized Official - Last Name:GRIMSLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MED, CCC-SLP
Authorized Official - Phone:919-801-8636
Mailing Address - Street 1:120 SAINT ALBANS DR
Mailing Address - Street 2:APT 95
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-5802
Mailing Address - Country:US
Mailing Address - Phone:919-801-8636
Mailing Address - Fax:
Practice Address - Street 1:120 SAINT ALBANS DR
Practice Address - Street 2:APT 95
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-5802
Practice Address - Country:US
Practice Address - Phone:919-801-8636
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-10
Last Update Date:2014-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5168235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty