Individual
HEATHER GAVETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
111 SUNSHINE CREST CT, APEX, NC 27539-5732
(919) 608-3900
Mailing address
111 SUNSHINE CREST CT, APEX, NC 27539-5732
(919) 608-3900
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6394
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7412152
—
NC
Enumeration date
02/06/2007
Last updated
12/06/2010
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