Individual
MRS. ALISON MATTOS DELORME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA,CCC-SLP
Contact information
Practice address
804 SARAZEN DR, CLAYTON, NC 27527-3921
(919) 440-5786
(919) 573-0759
Mailing address
PO BOX 629, CLAYTON, NC 27528-0629
(919) 440-5786
(919) 573-0759
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6445
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
138F6
BCBS
NC
05
—
7412211
—
NC
Enumeration date
03/22/2007
Last updated
07/03/2013
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