Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southport Speech and Language, PLLC

Organization Speech-Language Pathologist · NPI 1386465045

Southport Speech and Language, PLLC is a Speech-Language Pathologist in Bolivia, North Carolina. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1746 E Coronado Ave SE
Bolivia, NC 28422-0900
Phone: (336) 404-4802
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X

Record details

NPI number1386465045
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Laura O'Connell — Owner · (336) 404-4802
NPI enumeratedOctober 24, 2024
Last updated in NPPESOctober 24, 2024
Certification dateOctober 24, 2024
Mailing address1746 E Coronado Ave Se, Bolivia, NC 28422-0900

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