Individual
FAEBEN T FULFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, CCC-SLP
Contact information
Practice address
800 BRIAR CREEK RD STE AA206, CHARLOTTE, NC 28205-7147
(704) 571-5841
Mailing address
11000 WINDSOR CLUB CT APT 202, RALEIGH, NC 27617-8527
(919) 996-9326
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
11582
NC
Other
Enumeration date
04/18/2016
Last updated
03/03/2025
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