Provider Demographics
NPI:1497990758
Name:MASSEY, CARA JUNE
Entity Type:Individual
Prefix:
First Name:CARA
Middle Name:JUNE
Last Name:MASSEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:606 MADAM MOORES LN
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28562-6442
Mailing Address - Country:US
Mailing Address - Phone:252-717-8005
Mailing Address - Fax:252-633-6770
Practice Address - Street 1:606 MADAM MOORES LN
Practice Address - Street 2:
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28562-6442
Practice Address - Country:US
Practice Address - Phone:252-717-8005
Practice Address - Fax:252-633-6770
Is Sole Proprietor?:No
Enumeration Date:2008-12-15
Last Update Date:2008-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC953235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist