Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MACKENZIE FORMAN, CCC-SLP
Active Sole ProprietorMACKENZIE FORMAN, CCC-SLP is a Speech, Language and Hearing Specialist healthcare provider located in HOLLY SPRINGS, North Carolina. NPI 1679821490 is currently active in the NPPES registry. Verify at CMS.
Speech, Language and Hearing Specialist · HOLLY SPRINGS, NC
Registration Details
- NPI Number
- 1679821490
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 28, 2012 (13.81581910111 yrs)
- Last Updated
- Aug 28, 2012
- License
-
9405 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5509 POINT LAKE CTHOLLY SPRINGS, NC, 275409349Browse NC providers · Browse ZIP 27540
- Phone
- 9196562901
- Fax
- 8888934354
- Primary Specialty
-
Speech, Language and Hearing Specialist
235Z00000X
Other Speech, Language and Hearing Specialist Providers in HOLLY SPRINGS, NC
| Name | Credential | NPI |
|---|---|---|
| MRS. KATHRYN CLAY BODDICKER | MS CC SLP | 1245315944 |
| MRS. KRISTEN JEAN WILSON ORREGO | M.A. CCC-SLP | 1598823064 |
| MEGHAN HILLARY BAULCH | CCC-SLP | 1366597817 |
| CAROLYN ANN OWER | MS,CCC-SLP | 1407902232 |
| MRS. KELLY BROOKE DESTEFANO | — | 1073652194 |
| MRS. SHANNON BURCHETT SCHIEDER | M.A. CCC-SLP | 1104954411 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.