Individual
JUDITH NEALER GARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
4201 LAKE BOONE TRAIL, STE 4, RALEIGH, NC 27607-7511
(919) 781-4434
(919) 781-5851
Mailing address
4201 LAKE BOONE TRAIL, STE 4, RALEIGH, NC 27607-7511
(919) 781-4434
(919) 781-5851
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6269
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
135M9
BCBS
NC
01
—
4600072
UNITED HEALTHCARE
—
01
—
7070507
AETNA
—
05
—
7412053
—
NC
05
—
8300041K
—
NC
01
—
C9769
MEDCOST
—
Enumeration date
12/26/2006
Last updated
07/09/2007
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