Individual
ELIZABETH CHRISTINE RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1321 WYNNCREST CT, RALEIGH, NC 27603-8768
(919) 358-7089
(919) 326-2612
Mailing address
1321 WYNNCREST CT, RALEIGH, NC 27603-8768
(919) 358-7089
(919) 326-2612
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5219
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1279U
BCBS
NC
01
—
4600072
UNITED HEALTHCARE
—
01
—
7368432
AETNA
—
05
—
7411702
—
NC
01
—
8300041K
MEDICAID CBRS
NC
01
—
B6407
MEDCOST
—
Enumeration date
01/12/2007
Last updated
07/08/2007
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