Most Relevant Information
Provider Data
| NPI Number: | 1003358508 |
| Provider Name: | CHARNELLE MCCLELLAN MA. CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 12296 |
Most Important Dates
| Enumeration Date: | 11/15/2016 |
| Last Updated: | 07/20/2020 |
Provider Practice Location
1320 OAKRIDGE BLVD
LUMBERTON
NC
283582338
Practice Location Phone/Fax
| Phone: | 3363838887 |
| Fax: |
Provider Mailing Location
1320 OAKRIDGE BLVD
LUMBERTON
NC
283582338
Provider Mailing Phone/Fax
| Phone: | 3363838887 |
| Fax: |