Individual
MRS. AMY WHITE MAFFUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSP, CCC-SLP
Contact information
Practice address
9129 MONROE RD, SUITE 100-105, CHARLOTTE, NC 28270-2429
(704) 847-3911
(704) 847-2033
Mailing address
9129 MONROE RD, SUITE 100-105, CHARLOTTE, NC 28270-2429
(704) 847-3911
(704) 847-2033
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7770
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1465M
BCBS
NC
05
—
7412770
—
NC
Enumeration date
12/14/2006
Last updated
06/18/2013
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