Individual
MRS. ELIZABETH RIDER SOBOEIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.,CCC-SLP
Contact information
Practice address
401 N.MAIN STREET, FUQUAY VARINA, NC 27526-1933
(919) 577-6807
(919) 577-6853
Mailing address
401 N. MAIN STREET, FUQUAY VARINA, NC 27526-1933
(919) 577-6807
(919) 577-6853
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3148
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285776419
NPI
NC
05
—
7412177
—
NC
Enumeration date
02/13/2007
Last updated
03/03/2014
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