Doctor Name: | MRS. PENELOPE BOYETTE RAGAN |
NPI Number: | 1043390891 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | 4527 |
Business Practice Address: | 205 Glen Oak Dr Goldsboro, NC - 275341705 |
Business Phone Number: | 9197341773 |
Business Fax Number: | 9195800023 |
Mailing Address: | 104 Callaway Ct, GOLDSBORO |
State: | NC |
Postal Code: | 275305543 |
Phone Number: | 9195809395 |
Fax Number: | |
NPI Enumeration Date: | 10/16/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 4527 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |