MEDICARE: DELLA FRANKLIN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	11037	NC

General Provider Information

NPI Number	:	1184049777
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DELLA FRANKLIN

Provider Business Mailing Address
First Line	:	11104 QUEARY CT
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28277-1500
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1021 MOREHEAD MEDICAL DR STE 3300
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28204
Country	:	US
Telephone Number	:	980-442-3207
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/19/2014
Last Update Date	:	02/19/2019

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Directions to “ DELLA FRANKLIN ” Practice Location

Language	Start Address	Practice Location

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