Doctor Name: | MRS. BETHANY PARRISH VIGILANTE |
NPI Number: | 1225487887 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA CCC-SLP |
License Number: | 9541 |
Business Practice Address: | 350 Holly Hill Ln Ste A Burlington, NC - 272155691 |
Business Phone Number: | 3363509263 |
Business Fax Number: | 3363509264 |
Mailing Address: | 204 E Avondale Dr, GREENSBORO |
State: | NC |
Postal Code: | 274031046 |
Phone Number: | 3364207850 |
Fax Number: | |
NPI Enumeration Date: | 06/05/2016 |
NPI Last Update Date: | 06/05/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 9541 |
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 |