Doctor Name: | MS. CAROLYN VICK MCCREADY |
NPI Number: | 1164570214 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. |
License Number: | 1223 |
Business Practice Address: | 300 Ferguson Building University Of North Carolina At Greensboro Greensboro, NC - 274026170 |
Business Phone Number: | 3363345939 |
Business Fax Number: | 3363344475 |
Mailing Address: | Highland Avenue 300 Ferguson Building, University Of Nc At Greensboro GREENSBORO |
State: | NC |
Postal Code: | 274026170 |
Phone Number: | 3363345939 |
Fax Number: | 3363344475 |
NPI Enumeration Date: | 01/08/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 1223 |
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 |