Provider Demographics
NPI:1760591473
Name:MAHLSCHNEE, PATRICIA SUE (MA CCC SLP)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:SUE
Last Name:MAHLSCHNEE
Suffix:
Gender:F
Credentials:MA CCC SLP
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:SUE
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:168 MANCHESTER TRAIL
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:NC
Mailing Address - Zip Code:27520
Mailing Address - Country:US
Mailing Address - Phone:919-763-0450
Mailing Address - Fax:
Practice Address - Street 1:514 N BRIGHTLEAF BLVD
Practice Address - Street 2:OUTPATIENT REHABILITATION SUITE 1120
Practice Address - City:SMITHFIELD
Practice Address - State:NC
Practice Address - Zip Code:27577-4407
Practice Address - Country:US
Practice Address - Phone:919-938-7757
Practice Address - Fax:919-938-7078
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2014-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7015235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7412439Medicaid
NC184603OtherMEDCOST
NC141PVOtherBLUE CROSS BLUE SHIELD OF