Individual
ELIZABETH FENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
10508 PARK RD STE 130, CHARLOTTE, NC 28210-8526
(704) 541-9080
(704) 542-0699
Mailing address
10508 PARK RD STE 130, CHARLOTTE, NC 28210-8526
(704) 541-9080
(704) 542-0699
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6649
NC
Other
Enumeration date
02/05/2008
Last updated
02/05/2008
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