Individual
MRS. ELISABETH OCONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
6308 THERFIELD DR, RALEIGH, NC 27614-7130
(919) 870-1355
Mailing address
6308 THERFIELD DR, RALEIGH, NC 27614-7130
(919) 870-1355
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2622
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
74633503
—
NC
Enumeration date
06/08/2007
Last updated
07/08/2007
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