Individual
MS. ERICA BEVILACQUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2316 HISTORIC CIR, MORRISVILLE, NC 27560-8154
(202) 609-8867
Mailing address
19 W 21ST ST, SUITE 701, NEW YORK, NY 10010-6805
(646) 230-8190
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10394
NC
Other
Enumeration date
08/09/2013
Last updated
08/09/2013
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