MEDICARE: MRS. CHRISTY L STAPLETON MA,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
1	235Z00000X	Speech-Language Pathologist	3783	NC

General Provider Information

NPI Number	:	1770632135
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CHRISTY L STAPLETON MA,CCC-SLP

Provider Business Mailing Address
First Line	:	PO BOX 556
Second Line	:
City	:	LANDIS
State	:	NC
Zip	:	28088-0556
Country	:	US
Telephone Number	:	704-796-2237
Fax Number	:

Provider Business Practice Location Address
First Line	:	644 STATESVILLE BLVD
Second Line	:	SUITE E
City	:	SALISBURY
State	:	NC
Zip	:	28144-2280
Country	:	US
Telephone Number	:	704-796-2237
Fax Number	:

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

Provider Enumeration Date	:	01/08/2007
Last Update Date	:	07/08/2007

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