Provider Demographics
NPI:1821214495
Name:FURLOUGH, CYNTHIA L (CCC-SLP)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:L
Last Name:FURLOUGH
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 BLUE RIDGE RD
Mailing Address - Street 2:STE. 120
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27607-6469
Mailing Address - Country:US
Mailing Address - Phone:919-784-4455
Mailing Address - Fax:919-784-4442
Practice Address - Street 1:2500 BLUE RIDGE RD
Practice Address - Street 2:STE. 120
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27607-6469
Practice Address - Country:US
Practice Address - Phone:919-784-4455
Practice Address - Fax:919-784-4442
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2030235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist