Elisabeth Blackwell
Speech-Language Pathologist, in Conway, SC. Individual provider (NPI-1).
NPI number1831985258
StatusActive
Last updated in NPPESApr 15, 2025
Details
- NPI
- 1831985258
- Entity type
- Individual (NPI-1)
- Name
- Elisabeth Blackwell
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 15, 2025
- Certification date
- Apr 8, 2025
- Last updated
- Apr 15, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 8830 | SC | Yes |
Practice location
2431 Us-501Conway, SC 29526
Phone 843-575-8768
Mailing address
Po Box 70387Myrtle Beach, SC 29572-0025
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All 24 Speech-Language Pathologist providers in Conway · All 1,607 providers in Conway
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