Individual
MISS ELAINE KIRBY TOLBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S
Contact information
Practice address
84 JOHNSON ESTATE RD, CLAYTON, NC 27520-9289
(919) 359-3878
Mailing address
7 TANGLEWOOD DR, SOUTHERN PINES, NC 28387-4349
(828) 244-5472
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14072
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14072
SPEECH LANGUAGE PATHOLOGIST
NC
01
—
14302021
CERTIFICATION OF CLINICAL COMPETENCE
—
Enumeration date
04/30/2020
Last updated
04/30/2020
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