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Individual

MS. DEBORAH BENGALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
600 MOYE BLVD, SCHOOL OF ALLIED HEALTH SCIENCES/CSDI, GREENVILLE, NC 27834
(252) 744-6099
(252) 744-6148
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
(252) 744-3253
(252) 744-3194

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1104
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13135
BCBS NC
NC
05
7413135
NC
Enumeration date
08/09/2006
Last updated
07/14/2008
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