Individual
EMILY ELIZABETH PETRUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1289 OLIVER ST, FAYETTEVILLE, NC 28304-4450
(410) 553-2200
Mailing address
PO BOX 87294, FAYETTEVILLE, NC 28304-7294
(910) 483-8331
(910) 483-8335
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
09849
MD
235Z00000X
Speech-Language Pathologist
Primary
30001665
NC
Other
Enumeration date
07/26/2021
Last updated
10/13/2023
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