Doctor Name: | CAROL C MARK |
NPI Number: | 1770827156 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS-CCC |
License Number: | 6022 |
Business Practice Address: | 707 N Elm St High Point, NC - 272623917 |
Business Phone Number: | 3368850141 |
Business Fax Number: | |
Mailing Address: | 6122 Olde Fields Way, PFAFFTOWN |
State: | NC |
Postal Code: | 270408222 |
Phone Number: | 3369461769 |
Fax Number: | |
NPI Enumeration Date: | 11/25/2012 |
NPI Last Update Date: | 11/25/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 6022 |
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 |