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Individual

ANDREA SHUMATE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S., CCC-SLP

Contact information

Practice address
790 ZELDA CT, HENDERSONVILLE, NC 28792-9525
(828) 329-4141
(828) 697-6076
Mailing address
PO BOX 704, NAPLES, NC 28760-0704
(828) 329-4141
(828) 697-6076

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4397
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13764
BLUE CROSS
NC
05
7412157
NC
01
D9788
MEDCOST
NC
Enumeration date
06/11/2007
Last updated
07/08/2007
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