Individual
MISS CHRISTY ANNE AYCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1611 JONES FRANKLIN RD, SUITE 109, RALEIGH, NC 27606-3376
(919) 852-0702
(919) 852-0742
Mailing address
3130 WALNUT CREEK PKWY APT G, RALEIGH, NC 27606-4618
(919) 390-4056
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7204
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7412537
—
NC
Enumeration date
11/20/2006
Last updated
07/08/2007
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