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MRS. DEBRA FUNDERBURK JOLLY CCC-SLP NPI 1902151210


NPI Information

NPI: 1902151210
Provider Name: MRS. DEBRA FUNDERBURK JOLLY, CCC-SLP
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Individual
Address:
14408 PLANTERS KNOB LN
CHARLOTTE, NC
ZIP 28273
Phone: (704) 807-0760
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MRS. Debra Funderburk Jolly, CCC-SLP is a speech language pathologist in Charlotte, NC. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. MRS. Debra Funderburk Jolly, CCC-SLP NPI is 1902151210. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

14408 PLANTERS KNOB LN
CHARLOTTE, NC
ZIP 28273-847
Phone: (704) 807-0760

The enumeration date for this NPI number is 7/23/2012 and was last updated on 7/23/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1235Z00000XSpeech-Language Pathologist786SOUTH CAROLINANo
2235Z00000XSpeech-Language Pathologist3935NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17411800OTHERNORTH CAROLINA2002 MEDICAID PROVIDER (OUTDATED)

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.