Individual provider · Type 1 NPI

Tia Antoinette Green

Speech-Language Pathologist · Greensboro, NC

NPI number 1609717222 Active

Practice location

714 Green Valley Rd
Greensboro, NC 27408-7018

Mailing address

1109 Terrell Dr
High Point, NC 27262-3437

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X30004109 (NC)

Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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About NPI 1609717222

Tia Antoinette Green's National Provider Identifier is 1609717222, issued on Apr 6, 2026. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Greensboro, NC. The record was last updated on Jun 3, 2026.