Organization
FULL BLOOM SPEECH LANGUAGE PATHOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMY LYNN ELDER MA, SLP (SPEECH LANGUAGE PATHOLOGIST)
(937) 369-6613
Entity
Organization
Contact information
Practice address
17111 KENTON DR STE 206B, CORNELIUS, NC 28031-5650
(937) 369-6613
Mailing address
17031 HUGH TORANCE PKWY, HUNTERSVILLE, NC 28078-1276
(937) 369-6613
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/21/2024
Last updated
05/21/2024
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