Provider Demographics
NPI:1053443218
Name:CORDERO, GLENDALY (CCC-SLP)
Entity type:Individual
Prefix:
First Name:GLENDALY
Middle Name:
Last Name:CORDERO
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 EVERAM CT
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27516-6166
Mailing Address - Country:US
Mailing Address - Phone:919-641-3552
Mailing Address - Fax:
Practice Address - Street 1:205 EVERAM CT
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27516-6166
Practice Address - Country:US
Practice Address - Phone:919-641-3552
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-12
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC12442235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist