Individual
ELIZABETH BASHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
5221 SUNSET WALK LN, HOLLY SPRINGS, NC 27540-7827
(919) 710-5174
(844) 308-5802
Mailing address
5221 SUNSET WALK LN, HOLLY SPRINGS, NC 27540-7827
(919) 710-5174
(844) 308-5802
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
030901
NY
235Z00000X
Speech-Language Pathologist
Primary
13009
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912492208
—
NC
Enumeration date
06/28/2018
Last updated
07/01/2025
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