is a Speech-language Pathologist in Charlotte, North Carolina. practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for is 1669522652. The last update date is .
's current location address is 11535 Carmel Commons Blvd, Charlotte, North Carolina. You can contact this provider via phone number 7045413737 and fax number 7045409199. The mailing address for is 11535 Carmel Commons Blvd, Charlotte, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 11535 Carmel Commons Blvd, Charlotte, North Carolina |
| Phone Number | 7045413737 |
| Fax Number | 7045409199 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1669522652 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 11535 Carmel Commons Blvd |
|---|---|
| City | Charlotte |
| State | North Carolina (NC) |
| Post Code | 28226 |
| Phone Number | 7045413737 |
| Fax Number | 7045409199 |
Provider's Primary Taxonomy Detail
| Speciality | Speech-language Pathologist |
|---|---|
| Taxonomy | 235Z00000X |
| Licence No | 1246 |
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Definition: 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. Spe |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 51637 | BCBS PROVIDER |
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