Individual
ELIZABETH G CLINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
6958 NEXUS CT, SUITE 102, FAYETTEVILLE, NC 28304-2642
(910) 423-5622
(910) 423-5538
Mailing address
270 LAUREL COVE RD, STATESVILLE, NC 28677-2474
(704) 880-3794
(704) 663-2730
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6088
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1337G
BC/BS
NC
05
—
7411998
—
NC
Enumeration date
05/30/2006
Last updated
03/07/2013
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