Individual provider · Type 1 NPI

Mackenzie Forman, CCC-SLP

Speech-Language Pathologist · Wake Forest, NC

NPI number 1679821490 Active

Practice location

1151 S Main St Apt 303
Wake Forest, NC 27587-9660

Fax (919) 500-7696

Mailing address

5326 Glenmorgan Ln
Raleigh, NC 27616-8884

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X9405 (NC)

Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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About NPI 1679821490

Mackenzie Forman, CCC-SLP's National Provider Identifier is 1679821490, issued on Aug 28, 2012. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Wake Forest, NC. The record was last updated on Mar 25, 2026.