Danelle H Betancourt, MS. CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Henderson, NC

NPI 1043470784 · NPPES record last updated Jun 16, 2008

Key facts

NPI
1043470784
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
4417 (NC)
Practice address
2275 Ruin Creek Rd
Henderson, NC 27537-8732
Phone
(252) 438-1777
NPI assigned
Jun 16, 2008
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
4417NCMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 4417 NC Yes

Addresses

Primary practice location

2275 Ruin Creek Rd
Henderson, NC 27537-8732

Mailing address

6100 Tiffield Way
Wake Forest, NC 27587-4299
Phone (919) 453-2615

Other providers in Henderson, NC

All providers in Henderson, NC · Speech-Language Pathologist in North Carolina

Sources for this page

Verify at the official NPI Registry.