Individual
LANITA FOUNTAIN HAMPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1018 N BRAGG BLVD, SPRING LAKE, NC 28390-3316
(910) 491-0319
Mailing address
3344 HUNTING BAY DR, SPRING LAKE, NC 28390-1543
(910) 797-7775
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12193
NC
Other
Enumeration date
12/01/2016
Last updated
12/01/2016
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