Individual
KERRY LYNN RICHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
7301 CARMEL EXECUTIVE PARK DR, SUITE 302, CHARLOTTE, NC 28226-8251
(704) 540-3777
(704) 540-1443
Mailing address
1620 BATSON CREEK LN, WEDDINGTON, NC 28104-0062
(704) 578-3023
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4765
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12889
BLUECROSSBLUESHIELD
NC
01
—
7648723
AETNA
NC
Enumeration date
03/01/2007
Last updated
04/03/2024
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