in North Myrtle Beach - Speech-language Pathologist

- NPI 1326205022

is a Speech-language Pathologist in North Myrtle Beach, South Carolina. practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for is 1326205022. The last update date is .

's current location address is 128 Highway 17 S, North Myrtle Beach, South Carolina. You can contact this provider via phone number 8432803755 and fax number 8432803768. The mailing address for is 128 Highway 17 S, North Myrtle Beach, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name
Address 128 Highway 17 S, North Myrtle Beach, South Carolina
Phone Number 8432803755
Fax Number 8432803768
Sole Proprietor --
Credentials --

NPI Number Detail

NPI Number 1326205022
Provider Enumeration Date
Last Updated Date

Provider Mailing Address Detail

Address 128 Highway 17 S
City North Myrtle Beach
State South Carolina (SC)
Post Code 295823118
Phone Number 8432803755
Fax Number 8432803768

Provider's Primary Taxonomy Detail

Speciality Speech-language Pathologist
Taxonomy 235Z00000X
Licence No 3687
Definition:
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. Spe

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
SA1241 SC --

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