Individual
KERRY A CHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. S., CCC-SLP
Contact information
Practice address
5100 SHARON RD, CHARLOTTE, NC 28210-4768
(704) 553-1670
Mailing address
5100 SHARON RD, CHARLOTTE, NC 28210-4768
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
4441
SC
235Z00000X
Speech-Language Pathologist
Primary
8826
NC
Other
Enumeration date
06/08/2010
Last updated
04/10/2015
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