Healthcare Provider Details

I. General information

NPI: 1992374367
Provider Name (Legal Business Name): ELEANOR LOWE MCCREARY CF-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2021
Last Update Date: 01/09/2026
Certification Date: 01/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3905 UNIVERSITY DR
DURHAM NC
27707-2517
US

IV. Provider business mailing address

3905 UNIVERSITY DR
DURHAM NC
27707-2517
US

V. Phone/Fax

Practice location:
  • Phone: 919-928-0204
  • Fax:
Mailing address:
  • Phone: 919-928-0204
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number30004160
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: