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SUMMERVILLE SPEECH THERAPY PA NPI 1376608612


NPI Information

NPI: 1376608612
Provider Name: SUMMERVILLE SPEECH THERAPY, PA
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Organization
Address:
1551 BEN SAWYER BLVD
UNIT 1-E
MT PLEASANT, SC
ZIP 29464
Phone: (843) 856-4949
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SUMMERVILLE SPEECH THERAPY, PA is a speech language pathologist in Mt Pleasant, 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. SUMMERVILLE SPEECH THERAPY, PA NPI is 1376608612. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1551 BEN SAWYER BLVD
UNIT 1-E
MT PLEASANT, SC
ZIP 29464-500
Phone: (843) 856-4949

The provider's authorized official is Eleanor Gray Smith .
The authorized official title is President and has the following contact phone number (843) 856-4949.

The enumeration date for this NPI number is 12/27/2006 and was last updated on 8/22/2020.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1235Z00000XSpeech-Language Pathologist312SOUTH 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1GP3442MEDICAIDSOUTH 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: 5/5/2024

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