Provider Demographics
NPI:1376835132
Name:SCALIONE, SUSAN MANN (CRT, RCP)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:MANN
Last Name:SCALIONE
Suffix:
Gender:F
Credentials:CRT, RCP
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:343 TECHNOLOGY DR
Mailing Address - Street 2:SUITE 1110
Mailing Address - City:GARNER
Mailing Address - State:NC
Mailing Address - Zip Code:27529-7949
Mailing Address - Country:US
Mailing Address - Phone:919-780-5900
Mailing Address - Fax:191-780-5905
Practice Address - Street 1:343 TECHNOLOGY DR
Practice Address - Street 2:SUITE 1110
Practice Address - City:GARNER
Practice Address - State:NC
Practice Address - Zip Code:27529-7949
Practice Address - Country:US
Practice Address - Phone:919-780-5900
Practice Address - Fax:191-780-5905
Is Sole Proprietor?:No
Enumeration Date:2011-05-11
Last Update Date:2011-05-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC49112278P1004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2278P1004XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedPulmonary Diagnostics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC4911OtherNC RESPIRATORY CARE BOARD