Individual
MRS. ANGELA ELLEN MACKERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
4421 STUART ANDREW BLVD, CHARLOTTE, NC 28217-1589
(980) 343-6960
Mailing address
7424 EDENBRIDGE LN, CHARLOTTE, NC 28226-3392
(704) 904-3522
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5857
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7411823
—
NC
Enumeration date
10/23/2006
Last updated
04/13/2026
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