Doctor Name: | MRS. RENEE ELIZABETH ISLEY |
NPI Number: | 1306147525 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. |
License Number: | 1108011 |
Business Practice Address: | 3807 Wrightsville Ave Unit 20 Wilmington, NC - 284038441 |
Business Phone Number: | 9107990303 |
Business Fax Number: | 9107990303 |
Mailing Address: | 6958 Newbury Way, WILMINGTON |
State: | NC |
Postal Code: | 284111012 |
Phone Number: | 9104599235 |
Fax Number: | |
NPI Enumeration Date: | 11/04/2010 |
NPI Last Update Date: | 10/28/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 1108011 |
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 |