Provider Demographics
NPI:1235286501
Name:RALEIGH, LOUISE FERGUSON (MED)
Entity Type:Individual
Prefix:MRS
First Name:LOUISE
Middle Name:FERGUSON
Last Name:RALEIGH
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 26170
Mailing Address - Street 2:UNIVERSITY OF NORTH CAROLINA AT GREENSBORO
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27402-6170
Mailing Address - Country:US
Mailing Address - Phone:336-334-3784
Mailing Address - Fax:336-334-4475
Practice Address - Street 1:HIGHLAND AVENUE 300 FERGUSON BLDG.
Practice Address - Street 2:UNIVERSITY OF NORTH CAROLINA AT GREENSBORO
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27402-6170
Practice Address - Country:US
Practice Address - Phone:336-334-3784
Practice Address - Fax:336-334-4475
Is Sole Proprietor?:No
Enumeration Date:2007-01-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1396235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist