Doctor Name: | CYNTHIA CARTER CHAMPION |
NPI Number: | 1760518948 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC, SLP |
License Number: | 1782 |
Business Practice Address: | 501 Brownbark Ln Gibsonville, NC - 272492761 |
Business Phone Number: | 3362133352 |
Business Fax Number: | 3364464206 |
Mailing Address: | 501 Brownbark Ln, GIBSONVILLE |
State: | NC |
Postal Code: | 272492761 |
Phone Number: | 3362133352 |
Fax Number: | 3364464206 |
NPI Enumeration Date: | 02/24/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 1782 |
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 |