Organization
CHARLOTTE SPEECH AND HEARING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHANNON TUCKER (DIRECTOR)
(704) 523-8027
Entity
Organization
Contact information
Practice address
210 E WOODLAWN RD, CHARLOTTE, NC 28217-2226
(704) 523-8027
Mailing address
210 E WOODLAWN RD, CHARLOTTE, NC 28217
(704) 523-8027
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8075
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7401042
—
NC
Enumeration date
04/11/2011
Last updated
04/11/2011
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