Organization · Type 2 NPI
Sally Ray Miller Pidge
Specialist · Charlotte, NC
NPI number
1154408607
Active
Practice location
2301 Crown Point Executive Dr, Suite E
Charlotte, NC 28227-6725
Fax (704) 708-8315
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 4234 (NC) |
| Speech-Language Pathologist | 235Z00000X | 2583 (NC) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1154408607
Sally Ray Miller Pidge's National Provider Identifier is 1154408607, issued on Nov 1, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Charlotte, NC. The record was last updated on Oct 11, 2012.