Organization Name: | GAINEY & ROVERATO THERAPEUTIC SERVICES |
NPI Number: | 1124489315 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHARISSE N. GAINEY (SPEECH-LANGUAGE PATHOLOGIST) |
Mailing Address: | 261 Tadcaster Ct Raeford |
State: | NC US |
Postal Code: | 283766623 |
Phone Number: | 9194230465 |
Fax Number: | |
NPI Enumeration Date: | 03/15/2016 |
NPI Last Update Date: | 03/23/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 7513 |
Healthcare Provider Taxonomy: (Secondary) | N |
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 |