Vanessa Loiselle Mccullough M.S. CCC-SLP

NPI 1023375078 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1023375078
Gender Female
Enumeration Date 04/16/2012
Last Updated 05/06/2013
Entity Type Individual
Active Over 4 years ago
Practice Location
3622 TRAIL TWENTY THREE
DURHAM NC, 27707-5156, US
Phone (585) 764-1430
Fax
Business Location
3622 TRAIL TWENTY THREE
DURHAM NC, 27707-5156, US
Phone
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State North Carolina
License Number 9901
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According to our database, Vanessa Loiselle Mccullough M.S. CCC-SLP NPI is 1023375078, taxonomy code is 235Z00000X and license number is 9901, license state is located at North Carolina. Vanessa Loiselle Mccullough M.S. CCC-SLP physically located at 3622 Trail Twenty Three, Durham NC, 27707-5156. NPI Number Vanessa Loiselle Mccullough M.S. CCC-SLP has the Individual type.

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1023375078 NPI number is provided on an as is basis without warranty of any kind. 1023375078 is maintained by the National Plan & Provider Enumeration System. The contents of Vanessa Loiselle Mccullough M.S. CCC-SLP are for informational purposes only.