Individual
KIERSTEN CLOUNIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
616 DR CALVIN JONES HWY STE 212, WAKE FOREST, NC 27587-3106
(919) 219-5277
Mailing address
567 TIMBERKNOLL LN, WAKE FOREST, NC 27587-6063
(317) 650-0106
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
30002623
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
79204767
—
CO
Enumeration date
07/28/2022
Last updated
04/02/2024
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