Individual
AERIAL BASKERVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11369 FULLERTON PLACE DR NW, HUNTERSVILLE, NC 28078-4383
(980) 428-9562
Mailing address
11369 FULLERTON PLACE DR NW, HUNTERSVILLE, NC 28078-4383
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
30004686
NC
Other
Enumeration date
03/24/2026
Last updated
03/24/2026
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