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Lifespan Therapy PLLC

Speech-Language Pathologist, in Fletcher, NC. Organization (NPI-2).

NPI number1013679950
StatusActive
Last updated in NPPESAug 10, 2023

Details

NPI
1013679950
Entity type
Organization (NPI-2)
Legal business name
Lifespan Therapy PLLC
Organization subpart
No
Enumeration date
Oct 7, 2021
Certification date
Aug 10, 2023
Last updated
Aug 10, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,––Yes

Practice location

4020 Hendersonville Rd Ste E
Fletcher, NC 28732-8251

Phone 828-222-4875

Mailing address

4020 Hendersonville Rd Ste E
Fletcher, NC 28732-8251

Phone 828-222-4875

Authorized official

Alicia Kae White
Speech-Language Pathologist/Owner
2822248758

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