Most Relevant Information
Provider Data
NPI Number: | 1003541996 |
Provider Name: | CALLIE HUCKS MS CCC-SLP |
Entity Type: | Individual |
Taxonomy Code: | 235Z00000X |
Specialty: | Speech-Language Pathologist |
License Number: | 2203281 |
Most Important Dates
Enumeration Date: | 07/24/2022 |
Last Updated: | 07/24/2022 |
Provider Practice Location
8402 SIX FORKS RD STE 103
RALEIGH
NC
276153071
Practice Location Phone/Fax
Phone: | 9192195277 |
Fax: |
Provider Mailing Location
10320 SABLEWOOD DR
RALEIGH
NC
276177941
Provider Mailing Phone/Fax
Phone: | 9103937516 |
Fax: |