Caroline Fraley Brannon, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · China Grove, NC
NPI 1508375882 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1508375882
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 11553 (NC)
- Practice address
- 120 Elizabeth St
China Grove, NC 28023-3103 - Phone
- (704) 692-5758
- NPI assigned
- Sep 29, 2017
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 11553 | NC | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist |
235Z00000X | 11553 | NC | Yes |
Addresses
Primary practice location
120 Elizabeth St
China Grove, NC 28023-3103
Mailing address
120 Elizabeth St.
China Grove, NC 28023
Phone (704) 692-5758
Other providers in China Grove, NC
- Hannah E King Barnhardt
- Kortney Ann Baucom
- Joel Thomas Bibby
- Meredith Davis Bowen
- Laretta Bowers
- Robert E. Brewington
- Cabarrus County Group Homes, Inc.
- Cabarrus County Group Homes, Inc.
- Cabarrus Rowan Community Health Centers, Inc.
- Cabarrus Rowan Community Health Centers, Inc.
All providers in China Grove, NC · Speech-Language Pathologist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.