Provider Demographics
NPI:1134165145
Name:PINCH, VERONICA ANN (MS CCC/SLP)
Entity type:Individual
Prefix:MRS
First Name:VERONICA
Middle Name:ANN
Last Name:PINCH
Suffix:
Gender:F
Credentials:MS CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2202 MIROW PL
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28270-9534
Mailing Address - Country:US
Mailing Address - Phone:704-847-9136
Mailing Address - Fax:704-847-0856
Practice Address - Street 1:3315 SPRINGBANK LN
Practice Address - Street 2:SUITE 206
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28226-3197
Practice Address - Country:US
Practice Address - Phone:704-847-0186
Practice Address - Fax:704-847-0856
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-20
Last Update Date:2007-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5104235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist