Provider Demographics
NPI:1902055155
Name:DANG, NGOCANH THUY (MA, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:NGOCANH
Middle Name:THUY
Last Name:DANG
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6332 CEDAR WATERS DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27607-5179
Mailing Address - Country:US
Mailing Address - Phone:919-854-0461
Mailing Address - Fax:
Practice Address - Street 1:6332 CEDAR WATERS DR
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27607-5179
Practice Address - Country:US
Practice Address - Phone:919-854-0461
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-11
Last Update Date:2008-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4499235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist