Doctor Name: | CAROL LEBARON |
NPI Number: | 1386000289 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | 1605151 |
Business Practice Address: | 4250 Main St 211 Harrisburg, NC - 280757469 |
Business Phone Number: | 8885592818 |
Business Fax Number: | 7047310975 |
Mailing Address: | 4258 Highway 49 S, 554 HARRISBURG |
State: | NC |
Postal Code: | 280750345 |
Phone Number: | 8885592818 |
Fax Number: | 7047310975 |
NPI Enumeration Date: | 01/07/2016 |
NPI Last Update Date: | 04/27/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 1605151 |
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 |