Individual
KATHLEEN BANNISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
100 CORNERSTONE DR, CARY, NC 27519-8453
(919) 460-1921
(919) 460-1929
Mailing address
100 CORNERSTONE DR, CARY, NC 27519-8453
(919) 460-1921
(919) 460-1929
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
13570
NC
Other
Enumeration date
12/30/2021
Last updated
05/20/2022
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