Active NPI
Michele Duvall, MA, CCC-SLP
- Speech-Language Pathologist
- Archdale, NC
National Provider Identifier
1699046052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 5453
- Practice address
- 625 Ashland St
Archdale, NC 27263-2943 - Phone
- (336) 434-2902
- NPI assigned
- Jan 17, 2012
- Last updated
- Jan 17, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 5453 | NC | Primary |
Addresses
Primary practice location
625 Ashland St
Archdale, NC 27263-2943
Mailing address
3052 Lock Highland CT
Climax, NC 27233-9701
Phone (336) 392-6491
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5453 | NC | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326758400000",
"number": "1699046052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3052 LOCK HIGHLAND CT",
"city": "CLIMAX",
"state": "NC",
"postal_code": "272339701",
"telephone_number": "336-392-6491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 ASHLAND ST",
"city": "ARCHDALE",
"state": "NC",
"postal_code": "272632943",
"telephone_number": "336-434-2902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUVALL",
"first_name": "MICHELE",
"name_prefix": "Mrs.",
"credential": "MA, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-17",
"last_updated": "2012-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "5453",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Archdale, NC
- Daymark Recovery Services Inc
- Daymark Recovery Servicse Inc
- Carlie Desjardins, DPT
- Juliana Digirolamo, DPT
- Dr. Keith T. Macdonald
- William Tyler Earnst, D.C.
- Easter Seals Ucp North Carolina & Virginia
- Eckerd Corporation (Rite Aid Pharmacy 11335)
- Cynthia Dee Edwards, LCSW
- Kimberly Dellinger Efird, RPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.