Individual
TERESA J CLARK STRICKLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
205B CONCORD RD, ANDERSON, SC 29621-2731
(864) 940-8639
(864) 752-1308
Mailing address
104 GUTHRIE RD, BELTON, SC 29627-8935
(864) 940-8639
(864) 752-1308
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4253
SC
235Z00000X
Speech-Language Pathologist
SLP005401
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137530215A
—
GA
05
—
SA0864
—
SC
Enumeration date
06/21/2006
Last updated
07/18/2014
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