Provider Demographics
NPI:1427403906
Name:CLIFTON, CHRISTY (MS CCC-SLP)
Entity type:Individual
Prefix:
First Name:CHRISTY
Middle Name:
Last Name:CLIFTON
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3966 ECHO FARMS BLVD
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28412-7380
Mailing Address - Country:US
Mailing Address - Phone:631-902-0966
Mailing Address - Fax:
Practice Address - Street 1:3205 RANDALL PKWY STE 201
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-2569
Practice Address - Country:US
Practice Address - Phone:910-343-5885
Practice Address - Fax:910-343-5886
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-03
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YS00800300235Z00000X
NC30003193235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist