Individual
MS. CHARISSE NICOLE GAINEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.E.D. CCC-SLP
Contact information
Practice address
5545 ROBMONT DR, FAYETTEVILLE, NC 28306-2660
(919) 423-0465
Mailing address
5545 ROBMONT DR, FAYETTEVILLE, NC 28306-2660
(919) 423-0465
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7297
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7412624
—
NC
Enumeration date
12/02/2006
Last updated
08/11/2009
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