Individual
HEATHER MACDOUGALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
4300 SHARON RD APT 531, CHARLOTTE, NC 28211-6028
(301) 655-8793
Mailing address
4300 SHARON RD APT 531, CHARLOTTE, NC 28211-6028
(301) 655-8793
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
08186
MD
235Z00000X
Speech-Language Pathologist
Primary
12938
NC
Other
Enumeration date
08/18/2018
Last updated
08/18/2018
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