Individual
DESDY PAIGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
2722 FORT BRAGG RD, FAYETTEVILLE, NC 28303-4721
(910) 425-6282
(910) 425-6554
Mailing address
415 HALLMARK RD, FAYETTEVILLE, NC 28303-2615
(910) 425-6282
(910) 425-6554
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2702
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2702
NC BOARD OF EXAMINERS FOR SPEECH AND LANGAUGE PATHOLOGISTS AND AUDIOLGISTS
NC
Enumeration date
05/12/2017
Last updated
05/12/2017
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