Organization
GWEN'S SPEECH THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GWEN FOWLER-BERKEN MS, CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(828) 332-7144
Entity
Organization
Contact information
Practice address
310 TERRELL RD, FRANKLIN, NC 28734
(828) 371-3940
(828) 369-3940
Mailing address
310 TERRELL RD, FRANKLIN, NC 28734-8765
(828) 371-3940
(828) 369-7497
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8653
NC
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
056344
UNITED HEALTHCARE
—
01
—
1447546312
BLUE CROSS BLUE SHIELD
NC
01
—
741098
HUMANA
—
05
—
7413695
—
NC
01
—
9107845
AETNA
—
05
—
ATN375312
—
GA
Enumeration date
04/17/2018
Last updated
03/13/2019
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