Individual
BETSY GINGER MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSP, CCC-SLP
Contact information
Practice address
118 PARK AVE SW, SUITE 600, AIKEN, SC 29801-3835
(803) 270-4658
Mailing address
102 MIDLAND DR, GRANITEVILLE, SC 29829-4038
(803) 270-4658
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3335
SC
235Z00000X
Speech-Language Pathologist
SLP005095
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SA0428
—
SC
Enumeration date
11/13/2006
Last updated
07/09/2007
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