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NPI Code Detail

MEDICARE: CORDELIA DAHL THOMPSON MED, CCC-SLP

MEDICARE: CORDELIA DAHL THOMPSON MED, 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 Pathologist1672NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1561850178OTHERNCAMA
2561850178OTHERNCFEDERAL TAX ID
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
482809OTHERNCBCBS
5A4961OTHERNCMEDCOST

General Provider Information

NPI Number : 1841332590
Entity Type Code : Individual
Provider Name (Legal Business Name) : CORDELIA DAHL THOMPSON MED, CCC-SLP
Provider Business Mailing Address
First Line : 714 GREEN VALLEY RD
Second Line :
City : GREENSBORO
State : NC
Zip : 27408-7018
Country : US
Telephone Number : 336-370-8100
Fax Number :
Provider Business Practice Location Address
First Line : 714 GREEN VALLEY RD
Second Line :
City : GREENSBORO
State : NC
Zip : 27408-7018
Country : US
Telephone Number : 336-370-8100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2007
Last Update Date : 04/17/2026

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Directions to “ CORDELIA DAHL THOMPSON MED, CCC-SLP” Practice Location

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