Healthcare Provider Details
I. General information
NPI: 1275709743
Provider Name (Legal Business Name): ANGELA G ARANT CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 05/05/2008
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
117 TARBORO ST NE
WILSON NC
27893-4016
US
IV. Provider business mailing address
4707 NC HIGHWAY 222 W
KENLY NC
27542-8993
US
V. Phone/Fax
- Phone: 252-399-7700
- Fax:
- Phone: 919-631-6955
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | 3897 |
| License Number State | NC |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: