Individual
MRS. ELIZABETH TODD WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS SLP-CCC
Contact information
Practice address
2006 MCRAE RD NW, WILSON, NC 27896-1473
(252) 230-0409
Mailing address
2006 MCRAE RD NW, WILSON, NC 27896-1473
(252) 230-0409
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4487
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
741149W
—
NC
Enumeration date
03/18/2007
Last updated
07/09/2007
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