Provider Demographics
NPI:1164752341
Name:GREGORY, CARA (MS, SLP-CCC)
Entity Type:Individual
Prefix:
First Name:CARA
Middle Name:
Last Name:GREGORY
Suffix:
Gender:F
Credentials:MS, SLP-CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 GLORY VIEW LN
Mailing Address - Street 2:
Mailing Address - City:MARSHALL
Mailing Address - State:NC
Mailing Address - Zip Code:28753-7587
Mailing Address - Country:US
Mailing Address - Phone:828-777-1420
Mailing Address - Fax:
Practice Address - Street 1:301 GLORY VIEW LN
Practice Address - Street 2:
Practice Address - City:MARSHALL
Practice Address - State:NC
Practice Address - Zip Code:28753-7587
Practice Address - Country:US
Practice Address - Phone:828-777-1420
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-11
Last Update Date:2010-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7561235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist