Individual
MS. ELYSE L. ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA/CCC-SLP
Contact information
Practice address
3415 MELROSE RD STE C1, FAYETTEVILLE, NC 28304-1634
(910) 425-6282
Mailing address
3415 MELROSE RD STE C1, FAYETTEVILLE, NC 28304-1634
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2491
NC
Other
Enumeration date
05/22/2012
Last updated
05/22/2012
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