Individual
MRS. DANA MARIE ENTWISTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP, CLC
Contact information
Practice address
1001 BLYTHE BLVD FL 5, CHARLOTTE, NC 28203-5866
(704) 381-3313
Mailing address
17427 SUMMERS WALK BLVD, DAVIDSON, NC 28036-8948
(919) 771-6402
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12432
NC
Other
Enumeration date
02/26/2025
Last updated
02/26/2025
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