BLYTHEWOOD SPEECH THERAPY NPI 1689291783

NPI Information

  • NPI: 1689291783
  • Provider Name: BLYTHEWOOD SPEECH THERAPY
  • Classification: Speech-Language Pathologist - 235Z00000X
  • Entity Type: Organization
  • CLIA Number: 42D1057508
  • Address: 156 COATBRIDGE DR
    BLYTHEWOOD, SC
    ZIP 29016
  • Phone: (803) 404-1175

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NPI Details

BLYTHEWOOD SPEECH THERAPY is a speech language pathologist in Blythewood, 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. BLYTHEWOOD SPEECH THERAPY NPI is 1689291783. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

156 COATBRIDGE DR
BLYTHEWOOD, SC
ZIP 29016-168
Phone: (803) 404-1175

The provider's authorized official is Cassandra Ford .
The authorized official title is Owner and has the following contact phone number (803) 404-1175.

The CLIA number assigned to this NPI record is 42D1057508 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/6/2020 and was last updated on 7/6/2020.

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 PathologistYes

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

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