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NPI Code Detail

MEDICARE: EMILY ELIZABETH WOLF CCC-SLP

MEDICARE:   EMILY ELIZABETH WOLF  CCC-SLP
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
1235Z00000XSpeech-Language Pathologist30001676NC

General Provider Information

NPI Number : 1447949763
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY ELIZABETH WOLF CCC-SLP
Provider Business Mailing Address
First Line : 3311 COTTON MILL DR APT 303
Second Line :
City : RALEIGH
State : NC
Zip : 27612-5581
Country : US
Telephone Number : 919-333-3520
Fax Number :
Provider Business Practice Location Address
First Line : 801 CASCADE POINTE LN STE 103
Second Line :
City : CARY
State : NC
Zip : 27513-5824
Country : US
Telephone Number : 919-844-6611
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2023
Last Update Date : 05/29/2026

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Directions to “ EMILY ELIZABETH WOLF CCC-SLP” Practice Location

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