Individual
MRS. ELISABETH ANN CORMELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1602 KELVINGTON PL, APEX, NC 27502-4493
(919) 387-5866
Mailing address
1602 KELVINGTON PL, APEX, NC 27502-4493
(919) 387-5866
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2811
NC
Other
Enumeration date
09/25/2007
Last updated
09/25/2007
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