Individual
ELISA MATNEY HARDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.C.C.C.
Contact information
Practice address
8408 SIX FORKS RD, #102, RALEIGH, NC 27615-3076
(919) 848-9842
Mailing address
9800 SAINT STEPHEN CT, RALEIGH, NC 27615-1622
(919) 848-9842
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
752
NC
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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