Provider Demographics
NPI:1083828420
Name:THURMAN, RITA D (MS)
Entity Type:Individual
Prefix:MRS
First Name:RITA
Middle Name:D
Last Name:THURMAN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:3700 NATIONAL DR
Mailing Address - Street 2:SUITE 219
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27612-4842
Mailing Address - Country:US
Mailing Address - Phone:919-571-0622
Mailing Address - Fax:919-800-3365
Practice Address - Street 1:3700 NATIONAL DR
Practice Address - Street 2:SUITE 219
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27612-4842
Practice Address - Country:US
Practice Address - Phone:919-571-0622
Practice Address - Fax:919-800-3365
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-09
Last Update Date:2013-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1315235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist