Individual
CYNTHIA CARTER CHAMPION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC, SLP
Contact information
Practice address
501 BROWNBARK LN, GIBSONVILLE, NC 27249-2761
(336) 213-3352
(336) 446-4206
Mailing address
501 BROWNBARK LN, GIBSONVILLE, NC 27249-2761
(336) 213-3352
(336) 446-4206
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1782
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7412405
—
NC
Enumeration date
02/24/2007
Last updated
07/08/2007
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