Individual provider · Type 1 NPI

Jefferson Ray Iv, MA

Speech-Language Pathologist · Poplar Branch, NC

NPI number 1649126723 Active

Practice location

261 Poplar Branch Rd
Poplar Branch, NC 27965-9745

Mailing address

1347 Waterlily Rd
Coinjock, NC 27923-9740

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X8249 (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 1649126723

Jefferson Ray Iv, MA's National Provider Identifier is 1649126723, issued on Mar 10, 2026. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Poplar Branch, NC. The record was last updated on Mar 10, 2026.