Individual
MS. COURTNIE FAUST SPINOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
4243 PINE HOLLOW RD, WILMINGTON, NC 28412-2271
(910) 792-1821
(806) 398-1821
Mailing address
4243 PINE HOLLOW RD, WILMINGTON, NC 28412-2271
(910) 792-1821
(806) 398-1821
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6907
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7412541
—
NC
Enumeration date
04/26/2007
Last updated
07/08/2007
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