Doctor Name: | SERENA RENE RECTOR |
NPI Number: | 1124251855 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., CCC-SLP |
License Number: | 8636 |
Business Practice Address: | 317 Braddock Dr Dumc Box 3887 Lillington, NC - 275466311 |
Business Phone Number: | 9107039169 |
Business Fax Number: | |
Mailing Address: | 317 Braddock Dr, LILLINGTON |
State: | NC |
Postal Code: | 275466311 |
Phone Number: | 9107039169 |
Fax Number: | |
NPI Enumeration Date: | 08/28/2009 |
NPI Last Update Date: | 01/28/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 8636 |
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 |