Organization
DOGWOOD PEDIATRIC THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI HARE (SPEECH-LANGUAGE PATHOLOGIST)
(919) 247-4551
Entity
Organization
Contact information
Practice address
8360 SIX FORKS RD STE 101, RALEIGH, NC 27615-5087
(919) 247-4551
(919) 882-9569
Mailing address
6428 CAPE CHARLES DR, RALEIGH, NC 27617-7641
(919) 247-4551
(919) 882-9569
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8473
NC
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
12/10/2015
Last updated
03/17/2018
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