# CRESCENT THERAPY GROUP

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689036881
- **Authorized official:** MR. PAUL DAVID PRIDGEN SR. (OWNER)
- **Authorized official phone:** (803) 351-7502

## Contact information

- **Practice address:** 146 STONEMONT DR, IRMO, SC 29063-8665
- **Practice address phone:** (803) 351-7502
- **Mailing address:** 146 STONEMONT DR, IRMO, SC 29063-8665
- **Mailing address phone:** (803) 351-7502

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 235Z00000X | Speech-Language Pathologist | — | NULL | Yes |
| 235Z00000X | Speech-Language Pathologist | — | — | Yes |

## Other

- **Enumeration date:** 03/25/2016
- **Last updated:** 03/25/2016