Genevieve Deveyra, MS, CCC-SLP

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

NPI 1174805378 · NPPES record last updated Oct 12, 2025

Key facts

NPI
1174805378
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
1206121 (NC)
Practice address
1370 NC 24-87 Ste 127
Cameron, NC 28326-8571
Phone
(910) 808-1762
NPI assigned
Sep 13, 2011
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1206121NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Developmental Therapy Past Accepting new patients
Pediatric Developmental Therapy Speech-Language Pathologist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 1206121 NC Yes

Addresses

Primary practice location

1370 NC 24-87 Ste 127
Cameron, NC 28326-8571

Mailing address

1370 NC 24-87 Ste 127
Cameron, NC 28326-8571
Phone (910) 808-1762

Other providers in Cameron, NC

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

Sources for this page

Verify at the official NPI Registry.