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Organization
NORTHERN TIDES SPEECH AND LANGUAGE L.L.C.
Active
Organization
NORTHERN TIDES SPEECH AND LANGUAGE L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN A CUTIA M.S. CCC-SLP (SPEECH AND LANGUAGE PATHOLOGIST)
(607) 423-6613
Entity
Organization
Contact information
Practice address
1744 SAM RITTENBERG BLVD, CHARLESTON, SC 29407-4935
(607) 423-6613
(843) 375-6177
Mailing address
1329 NATIONAL DR, MT PLEASANT, SC 29466-8979
(843) 708-9138
(843) 375-6177
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
4986
SC
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
11/24/2014
Last updated
02/08/2023
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