Individual
EMMIE MACKENZIE COSTEN TOZIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CF-SLP
Contact information
Practice address
1520 GLENWOOD AVE STE 201, RALEIGH, NC 27608-2264
(919) 577-6807
Mailing address
141 N MAIN ST, FUQUAY VARINA, NC 27526-1933
(919) 577-6807
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22032113
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22032113
TEMPORARY NC SLP LICENSE
NC
Enumeration date
06/28/2021
Last updated
06/28/2021
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