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Brightcove Therapy Co

Speech-Language Pathologist, in Conway, SC. Organization (NPI-2).

NPI number1750171450
StatusActive
Last updated in NPPESMay 7, 2025

Details

NPI
1750171450
Entity type
Organization (NPI-2)
Legal business name
Brightcove Therapy Co
Organization subpart
No
Enumeration date
May 7, 2025
Certification date
May 7, 2025
Last updated
May 7, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,––Yes

Practice location

866 Castlewood Dr
Conway, SC 29526-9145

Phone 201-893-8775

Mailing address

866 Castlewood Dr
Conway, SC 29526-9145

Phone 201-893-8775

Authorized official

Alison N Fearon
Speech-Language Pathologist
2018938775

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