Boddicker, Kathryn Clay
Boddicker, Kathryn Clay is an individual health care provider with primary practice located at 105 Skywater Ln , Holly Springs NC 27540-9489. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Boddicker, Kathryn Clay can be contacted via phone (919) 244-8640.Contact Information
Primary practice address
105 Skywater Ln
Holly Springs NC 27540-9489
Phone: (919) 244-8640
Fax: (919) 267-9383
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 5721 | North Carolina |
Profile Details
| NPI number | 1245315944 |
|---|---|
| LBN Legal business name | Boddicker, Kathryn Clay |
| Credentials | MS CC SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 25th, 2006 |
| Last updated | Feb 10th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245315944 | NPPES |
| North Carolina | MEDICAID | 7211634 |
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