Individual
MISS LISA GRACE MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
300 FERGUSON BUILDING, UNIVERSITY OF NORTH CAROLINA AT GREENSBORO, GREENSBORO, NC 27402-6170
(336) 256-1142
(336) 334-4475
Mailing address
524 HIGHLAND AVENUE, 300 FERGUSON AVENUE, GREENSBORO, NC 27412-5018
(336) 334-5939
(336) 334-4475
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4956
NC
Other
Enumeration date
01/05/2007
Last updated
11/23/2020
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