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Organization

CLTSPEECH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SUZANNE BUNNELL MCNICHOL (SPEECH LANGUAGE PATHOLOGIST)
(704) 756-4373
Entity
Organization

Contact information

Practice address
6714 ALEXANDRIA LN, CHARLOTTE, NC 28270-2884
(704) 756-4373
Mailing address
6714 ALEXANDRIA LN, CHARLOTTE, NC 28270-2884
(704) 756-4373

Taxonomy

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

Other

Enumeration date
04/29/2025
Last updated
04/29/2025
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