Heavenly Speech Services
Speech-Language Pathologist, in Columbia, SC. Organization (NPI-2).
NPI number1376777532
StatusActive
Last updated in NPPESMay 4, 2009
Details
- NPI
- 1376777532
- Entity type
- Organization (NPI-2)
- Legal business name
- Heavenly Speech Services
- Organization subpart
- No
- Enumeration date
- May 4, 2009
- Last updated
- May 4, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | – | – | Yes |
Practice location
737 Harbor Vista DrColumbia, SC 29229-7438
Phone 803-834-6499
Mailing address
737 Harbor Vista DrColumbia, SC 29229-7438
Phone 803-834-6499
Authorized official
Kimberly Sharmaine Greene
Speech Language Pathologist
8038346499
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