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MULTIDISCIPLINARY THERAPY NPI 1013493162


NPI Information

NPI: 1013493162
Provider Name: MULTIDISCIPLINARY THERAPY
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Organization
Address:
1612 MARION ST STE 218G
COLUMBIA, SC
ZIP 29201
Phone: (803) 410-5483
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MULTIDISCIPLINARY THERAPY is a speech language pathologist in Columbia, SC. 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. MULTIDISCIPLINARY THERAPY NPI is 1013493162. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1612 MARION ST STE 218G
COLUMBIA, SC
ZIP 29201-939
Phone: (803) 410-5483
Fax: (803) 250-2651

The provider's authorized official is Tori Sullivan Leathers .
The authorized official title is President, Ceo and has the following contact phone number (803) 410-5483.

The enumeration date for this NPI number is 7/12/2018 and was last updated on 10/31/2023.


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
1221700000XArt TherapistNo
2225100000XPhysical TherapistNo
3225A00000XMusic TherapistNo
4225X00000XOccupational TherapistNo
5235Z00000XSpeech-Language PathologistYes

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
1GP8479MEDICAIDSOUTH CAROLINA

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: 4/28/2024

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