# CEDAR & VINE PEDIATRIC THERAPY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396428470
- **Authorized official:** ERIN FAITH BANE M.S. CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
- **Authorized official phone:** (980) 230-2555

## Contact information

- **Practice address:** 1183 CITADEL AVE, DURHAM, NC 27713-6779
- **Practice address phone:** (980) 230-2555
- **Mailing address:** 1183 CITADEL AVE, DURHAM, NC 27713-6779
- **Mailing address phone:** (980) 230-2555

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QH0700X | Hearing and Speech Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/07/2023
- **Last updated:** 08/07/2023