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NPI Code Detail

MEDICARE: MS. VALARIE GERRALD M.S CCC-SLP

MEDICARE: MS. VALARIE GERRALD M.S 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 Pathologist8855NC

General Provider Information

NPI Number : 1679892509
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. VALARIE GERRALD M.S CCC-SLP
Provider Business Mailing Address
First Line : 730 HAWTHORNE LN APT 319
Second Line :
City : CHARLOTTE
State : NC
Zip : 28204-2170
Country : US
Telephone Number : 646-245-3836
Fax Number :
Provider Business Practice Location Address
First Line : 6000 PARK SOUTH DR
Second Line :
City : CHARLOTTE
State : NC
Zip : 28210-3298
Country : US
Telephone Number : 704-643-1400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2010
Last Update Date : 05/17/2010

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Directions to “ MS. VALARIE GERRALD M.S CCC-SLP” Practice Location

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