Magnolia Speech & Feeding Therapy LLC
Speech-Language Pathologist, in Charleston, SC. Organization (NPI-2).
NPI number1104774348
StatusActive
Last updated in NPPESMar 20, 2026
Details
- NPI
- 1104774348
- Entity type
- Organization (NPI-2)
- Legal business name
- Magnolia Speech & Feeding Therapy LLC
- Organization subpart
- No
- Enumeration date
- Mar 20, 2026
- Certification date
- Mar 20, 2026
- Last updated
- Mar 20, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | – | – | Yes |
Practice location
29 Fenwick Dr Unit ACharleston, SC 29407-7537
Phone 843-619-7120
Mailing address
112 Hawkins Island CirSt Simons Island, GA 31522-1771
Authorized official
Emma Louise Tracy
Speech-Language Pathologist
8436197120
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