OrganizationActive
Advantage Therapy, PLLC
NPI 1205213733 · Speech-Language Pathologist · Raleigh, NC
Provider details
- NPI number
- 1205213733
- Entity type
- Organization
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Organization subpart
- No
- Authorized official
- Melissa Peters, President(919) 824-4748
- License
- 5296 (NC)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
8402 Six Forks Rd Ste 103
Raleigh, NC 27615-3071
Phone: (919) 395-6242
Approximate (ZIP-level) locationGet directions
Mailing address
8402 Six Forks Rd Ste 103
Raleigh, NC 27615-3071
Registry dates
- Enumerated
- 2015-05-05
- Last updated
- 2015-05-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.