Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Juliet Jade Bourgeois-Berwyn, MS, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1508418674

Juliet Jade Bourgeois-Berwyn, MS, CCC-SLP is a Speech-Language Pathologist in Fayetteville, North Carolina. Works from 2 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2019
What do these letters mean?
MS — Master of Science
A graduate science degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

3530 Boone Trl
Fayetteville, NC 28306-2189
Phone: (910) 748-0258
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1631 Midtown Pl, Raleigh, NC 27609-1300 — (562) 547-6035

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 13684 (NC)

Record details

NPI number1508418674
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorNo
NPI enumeratedJuly 9, 2019
Last updated in NPPESJuly 9, 2019

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