Individual provider · NPI-1

Dana Lynn Agre, MS, CF-SLP

Speech-Language Pathologist, · Greenville, SC

NPI number1699371765
StatusActive
Last updated in NPPESDec 4, 2020

Details

NPI
1699371765
Entity type
Individual (NPI-1)
Name
Dana Lynn Agre
Credential
MS, CF-SLP
Sex
Female
Sole proprietor
No
Enumeration date
Dec 4, 2020
Certification date
Dec 4, 2020
Last updated
Dec 4, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,SLP.7463SPINSCYes

Practice location

343 Prado Way
Greenville, SC 29607-6512

Phone 864-270-8647

Mailing address

59 Macle Ct
Travelers Rest, SC 29690-7308

Phone 601-757-2408

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