Provider Demographics
NPI:1447633367
Name:MCLAWHORN, CADY L (CCC-SLP)
Entity type:Individual
Prefix:
First Name:CADY
Middle Name:L
Last Name:MCLAWHORN
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:CADY
Other - Middle Name:L
Other - Last Name:SCHRADER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CCC - SLP
Mailing Address - Street 1:PO BOX 2417
Mailing Address - Street 2:
Mailing Address - City:WINTERVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28590-2417
Mailing Address - Country:US
Mailing Address - Phone:252-355-5535
Mailing Address - Fax:
Practice Address - Street 1:300 E ARLINGTON BLVD STE 2
Practice Address - Street 2:SUITE 2
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27858-5037
Practice Address - Country:US
Practice Address - Phone:252-355-5535
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-09
Last Update Date:2015-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC11482235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist