Individual
LISA H MCCALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
4020 BARRETT DR, SUITE 205, RALEIGH, NC 27609-6624
(919) 787-4400
(919) 510-0070
Mailing address
616 PARK YORK LN, CARY, NC 27519-5639
(919) 363-2056
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3383
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11844
BCBSNC PIN
NC
05
—
7411414
—
NC
Enumeration date
01/04/2007
Last updated
07/08/2007
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