Cathy Waldrop Blevins, MA,CCC-SLP

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

NPI 1861754566 · NPPES record last updated Jun 9, 2012

Key facts

NPI
1861754566
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
4912 (NC)
Practice address
421 Garrou Ave SE
Valdese, NC 28690-3303
Phone
(828) 874-3020
NPI assigned
Jun 9, 2012
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 Arts

State licenses

LicenseStateTypeSpecialty
4912NCMDChiropractor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 4912 NC Yes

Addresses

Primary practice location

421 Garrou Ave SE
Valdese, NC 28690-3303

Mailing address

421 Garrou Ave SE
Valdese, NC 28690-3303
Phone (828) 874-3020

Other providers in Valdese, NC

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

Sources for this page

Verify at the official NPI Registry.