VANTAGE SPEECH & LANGUAGE LLC NPI 1063907731

NPI Information

  • NPI: 1063907731
  • Provider Name: VANTAGE SPEECH & LANGUAGE LLC
  • Classification: Speech-Language Pathologist - 235Z00000X
  • Entity Type: Organization
  • Address: 421 BARONY ST SUITE 3
    MONCKS CORNER, SC
    ZIP 29461
  • Phone: (843) 790-4093

Map and Directions

Get Directions

NPI Details

VANTAGE SPEECH & LANGUAGE LLC is a speech language pathologist in Moncks Corner, 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. VANTAGE SPEECH & LANGUAGE LLC NPI is 1063907731. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

421 BARONY ST SUITE 3
MONCKS CORNER, SC
ZIP 29461-145
Phone: (843) 790-4093
Fax: (843) 501-2297

The provider's authorized official is Guy Joseph Vinette .
The authorized official title is Owner and has the following contact phone number (843) 790-4093.

The enumeration date for this NPI number is 6/26/2018 and was last updated on 1/23/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225XP0200XOccupational TherapistPediatricsNo
2235Z00000XSpeech-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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1GP9008MEDICAIDSOUTH 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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI