Elizabeth Baker Dasher, MS, CCC-SLP
Speech-Language Pathologist, in Stedman, NC. Individual provider (NPI-1).
NPI number1982147278
StatusActive
Last updated in NPPESApr 24, 2024
Details
- NPI
- 1982147278
- Entity type
- Individual (NPI-1)
- Name
- Elizabeth Baker Dasher
- Credential
- MS, CCC-SLP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 18, 2016
- Certification date
- Apr 24, 2024
- Last updated
- Apr 24, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 12192 | NC | Yes |
| 235Z00000X | Speech-Language Pathologist, | SLP012647 | GA |
Practice location
6308 Anise LnStedman, NC 28391-1300
Phone 910-260-0969
Mailing address
6308 Anise LnStedman, NC 28391-1300
Phone 910-260-0969
Other practice locations
6689 Lake Park Rd
Lake Park, GA 31636-4505
Lake Park, GA 31636-4505
Phone 910-260-0969
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