Organization
EXPRESS YOURSELF, NC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANELLE FENWICK M.S. CCC-SLP (OWNER)
(484) 883-2481
Entity
Organization
Contact information
Practice address
204 NEW RAIL DR, CARY, NC 27513-2722
(484) 883-2481
(919) 336-4515
Mailing address
204 NEW RAIL DR, CARY, NC 27513-2722
(484) 883-2481
(919) 336-4515
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9445
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396036927
—
NC
Enumeration date
01/21/2017
Last updated
01/21/2017
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