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Individual

ELLYN HARDIMAN WATSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S. CCC-SLP

Contact information

Practice address
4421 STUART ANDREW BLVD, CHARLOTTE, NC 28217-1589
(980) 343-6960
Mailing address
4984 CAMERON VALLEY PKWY, CHARLOTTE, NC 28210-3349
(203) 919-5075

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
005918
CT
235Z00000X
Speech-Language Pathologist
Primary
30002083
NC

Other

Enumeration date
11/14/2019
Last updated
04/14/2026
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