Organization
CHARLOTTE PEDIATRIC THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LOUISE BLACK FELTON M.ED., CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(704) 536-5510
Entity
Organization
Contact information
Practice address
7001 WALLACE RD, CHARLOTTE, NC 28212-6880
(704) 535-6510
Mailing address
2128 KAYBIRD LN, CHARLOTTE, NC 28270-1108
(704) 844-8031
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1266
NC
Other
Enumeration date
03/31/2007
Last updated
08/22/2020
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