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VERNICE DOLORES GALLON CLYBURN LRT/CTRS
NPI 1962923474
Recreation Therapist in Kannapolis, NC

Active since July 06, 2017
126 S ROSE AVE, KANNAPOLIS, NC 28083(704) 938-9657 Get Directions Write a Review

NPPES record last updated: March 15, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 15, 2021, Oct 11, 2018, Jul 6, 2017 (3 updates tracked since 2017).

About Vernice Dolores Gallon Clyburn Lrt/ctrs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VERNICE DOLORES GALLON CLYBURN LRT/CTRS (NPI 1962923474) is an individual recreation therapist in Kannapolis, North Carolina, licensed in North Carolina (1702) and active in the NPI registry since July 2017.

NPPES Registry Identity

NPI1962923474
Entity TypeIndividualFemale
Primary Taxonomy225800000X
Provider Legal NameVERNICE DOLORES GALLON CLYBURNCredential: LRT/CTRS
Location Address126 S ROSE AVEKannapolis, NC 28083-3552
Mailing Address126 S Rose AveKannapolis, NC 28083-3552
Phone(704) 938-9657
Sole ProprietorYes
Enumeration DateJuly 6, 2017
Last NPPES UpdateMarch 15, 20213 updates tracked since enumeration
NPPES CertifiedMarch 15, 2021
✔ NPI 1962923474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRecreation TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225800000X
Licenses✔ Licensed in NC · 1702✔ Licensed in NC · 19360
Definition

A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient.

126 S ROSE AVE, Kannapolis, NC 28083
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Other Names 1

Former Name (1)Vernice Dolores Gallon

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vernice Gallon Clyburn's NPI number?

The NPI number for Vernice Gallon Clyburn is 1962923474. It was assigned to this individual provider in the NPPES registry on July 6, 2017. The provider is also known as Vernice Dolores Gallon.

Where is Vernice Gallon Clyburn located?

Vernice Gallon Clyburn practices at 126 S Rose Ave, Kannapolis, NC 28083. The listed phone number is (704) 938-9657.

What is Vernice Gallon Clyburn's specialty?

The primary specialty registered for this NPI is Recreation Therapist with taxonomy code 225800000X.

When was this NPI record last updated?

The NPPES record for Vernice Gallon Clyburn was last updated on March 15, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.