Doctor Name: | MRS. MICHELLE T PERNELL |
NPI Number: | 1992725725 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC-SLP |
License Number: | 4481 |
Business Practice Address: | 672 Blythe St Hendersonville, NC - 287394017 |
Business Phone Number: | 8283296186 |
Business Fax Number: | |
Mailing Address: | 672 Blythe St, HENDERSONVILLE |
State: | NC |
Postal Code: | 287394017 |
Phone Number: | 8283296186 |
Fax Number: | |
NPI Enumeration Date: | 07/21/2006 |
NPI Last Update Date: | 07/17/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 4481 |
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 |