Individual
CARLY YSIDRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
401 HOLLY SPRINGS RD, HOLLY SPRINGS, NC 27540-9027
(919) 557-2660
Mailing address
217 COLVARD FARMS RD, DURHAM, NC 27713-7043
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
COND.20201520-SP
OH
Other
Enumeration date
08/20/2020
Last updated
04/23/2026
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