Lashonda McDade, M.S.

Individual provider Active NPI Early Intervention Provider Agency · Murfreesboro, NC

NPI 1821365313 · NPPES record last updated Mar 13, 2012

Key facts

NPI
1821365313
Entity type
Individual (NPI type 1)
Primary specialty
Early Intervention Provider Agency 252Y00000X
Practice address
108 W Fairview Dr
Murfreesboro, NC 27855-9367
Phone
(980) 395-6062
Fax
(866) 891-2574
NPI assigned
Nov 28, 2011
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
Credentials
Master of Science

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X
Early Intervention Provider Agency 252Y00000X Yes

Addresses

Primary practice location

108 W Fairview Dr
Murfreesboro, NC 27855-9367

Mailing address

108 West Fairview Drive
Murfreesboro, NC 27855-9367
Phone (980) 395-6062

Other providers in Murfreesboro, NC

All providers in Murfreesboro, NC · Early Intervention Provider Agency in North Carolina

Sources for this page

Verify at the official NPI Registry.