| Doctor Name: | GINNIE D SEDLAK |
| NPI Number: | 1194805259 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A., C.C.C. |
| License Number: | 2943 |
| Business Practice Address: | 1308 Westgate Center Dr Winston Salem, NC - 271032933 |
| Business Phone Number: | 3367687946 |
| Business Fax Number: | 3367687969 |
| Mailing Address: | 3183 Turkey Hill Rd, WINSTON SALEM |
| State: | NC |
| Postal Code: | 271064910 |
| Phone Number: | 3367609925 |
| Fax Number: | |
| NPI Enumeration Date: | 10/16/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 2943 |
| 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 |