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
Fax: (919) 267-9383
Website:

Health care specialties

SpecialtyCodeLicense #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 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245315944 NPPES
North Carolina MEDICAID 7211634

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