Healthcare Provider Details

I. General information

NPI: 1376210799
Provider Name (Legal Business Name): JASPREET KAUR SINGH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2021
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date: 06/08/2026
Reactivation Date: 07/13/2026

III. Provider practice location address

1920 E NC HIGHWAY 54 STE 240
DURHAM NC
27713-2263
US

IV. Provider business mailing address

1920 E NC HIGHWAY 54 STE 240
DURHAM NC
27713-2263
US

V. Phone/Fax

Practice location:
  • Phone: 919-378-1340
  • Fax:
Mailing address:
  • Phone: 919-378-1340
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number30001691
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: