Individual
KATHLEEN ELLIS-DOWLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
800 BROOKSTOWN AVE, WINSTON-SALEM, NC 27101-3745
(336) 725-0222
(336) 725-0454
Mailing address
800 BROOKSTOWN AVE, WINSTON-SALEM, NC 27101-3745
(336) 725-0222
(336) 725-0454
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6567
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1372U
NC BCBS
NC
05
—
7412200
—
NC
Enumeration date
06/23/2005
Last updated
02/06/2009
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