Individual
CATHERINE BIVENS LUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
319 OHENRY AVE, DAVIDSON, NC 28036-8649
(704) 237-3731
Mailing address
PO BOX 1389, DAVIDSON, NC 28036
(704) 237-3731
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1832
NC
Other
Enumeration date
12/13/2011
Last updated
12/13/2011
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