Individual
D'MYIA GAUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1660 E BOOKER DAIRY RD, SMITHFIELD, NC 27577-9405
(919) 938-3824
Mailing address
1660 E BOOKER DAIRY RD, SMITHFIELD, NC 27577-9405
(919) 938-3824
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2106152
NC
Other
Enumeration date
06/14/2021
Last updated
06/14/2021
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