Provider Demographics
NPI:1801772496
Name:ROUTES SPEECH THERAPY PLLC
Entity type:Organization
Organization Name:ROUTES SPEECH THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/SLP
Authorized Official - Prefix:
Authorized Official - First Name:TRISTAN
Authorized Official - Middle Name:N
Authorized Official - Last Name:HUBBARD
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC-SLP
Authorized Official - Phone:336-402-7881
Mailing Address - Street 1:4274 NC 704 HWY E
Mailing Address - Street 2:
Mailing Address - City:SANDY RIDGE
Mailing Address - State:NC
Mailing Address - Zip Code:27046-7647
Mailing Address - Country:US
Mailing Address - Phone:336-402-7881
Mailing Address - Fax:
Practice Address - Street 1:4274 NC 704 HWY E
Practice Address - Street 2:
Practice Address - City:SANDY RIDGE
Practice Address - State:NC
Practice Address - Zip Code:27046-7647
Practice Address - Country:US
Practice Address - Phone:336-402-7881
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-12
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty