Jaesan Pc
Speech-Language Pathologist · Charlotte, NC
At a glance
3116 Milton Rd Ste F, Charlotte, NC 28215-5079
NPPES record updated Oct 27, 2021. Public records can lag behind changes at a practice.
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Insurance participation and appointment availability are not established by these public records.
Practice location
3116 Milton Rd Ste FCharlotte, NC 28215-5079
Additional reported practice locations
10 Falls Ave Ste 9AGranite Falls, NC 286301545
Phone: 9802376226
Fax: 9802376288
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Speech-Language Pathologist
- Taxonomy code
- 235Z00000X
- Enumeration date
- Mar 15, 2007
- Record updated
- Oct 27, 2021
More registry details
- Provider type
- Organization · Type 2
- Other reported name
- <UNAVAIL>
Reported taxonomies and licenses
Speech-Language Pathologist
235Z00000X
License reported: 5842 NC
Speech-Language Pathologist
235Z00000X
License reported: 6278 NC
Speech-Language Pathologist
235Z00000X · Primary
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
3116 Milton Rd Ste FCharlotte, NC 28215-5079
- Phone
- (980) 237-6226
- Fax
- (980) 237-6288
Mailing address
3116 MILTON RD STE FCHARLOTTE, NC 282155079
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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