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NPI Code Detail

MEDICARE: MRS. DANITA CAVINESS EVERHART MSCCC-SLP

MEDICARE:  MRS. DANITA CAVINESS EVERHART  MSCCC-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 Pathologist3813NC

General Provider Information

NPI Number : 1548531056
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DANITA CAVINESS EVERHART MSCCC-SLP
Provider Business Mailing Address
First Line : 6001 WILORA LAKE RD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28212-2833
Country : US
Telephone Number : 704-563-2922
Fax Number : 704-563-2814
Provider Business Practice Location Address
First Line : 6001 WILORA LAKE RD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28212-2833
Country : US
Telephone Number : 704-563-2922
Fax Number : 704-563-2814
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2012
Last Update Date : 01/16/2012

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Directions to “ MRS. DANITA CAVINESS EVERHART MSCCC-SLP” Practice Location

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