Individual
KELMIRA LATHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
3906 SOUTHAMPTON CT, GREENVILLE, NC 27834-7671
(252) 717-6769
(252) 756-4614
Mailing address
3906 SOUTHAMPTON CT, GREENVILLE, NC 27834-7671
(252) 717-6769
(252) 756-4614
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6412
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7412433
—
NC
Enumeration date
12/19/2006
Last updated
04/16/2013
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