Individual
KIA SIMONE THATCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
9401 ARROWPOINT BLVD, CHARLOTTE, NC 28273-8166
(704) 426-3353
(980) 392-5580
Mailing address
9555 INTERNATIONAL CIR APT 308, INDIANAPOLIS, IN 46268-0137
(317) 363-8834
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
22007080A
IN
235Z00000X
Speech-Language Pathologist
Primary
30003919
NC
Other
Enumeration date
06/08/2017
Last updated
06/26/2025
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