Organization
PALMETTO LANGUAGE & SPEECH CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JUNE K MARANVILLE MSP, CCC-SLP (CENTER DIRECTOR)
(803) 356-9833
Entity
Organization
Contact information
Practice address
109 A VISTA OAKS DRIVE, LEXINGTON, SC 29072
(803) 356-9833
(803) 996-0548
Mailing address
109 A VISTA OAKS DRIVE, LEXINGTON, SC 29072
(803) 356-9833
(803) 996-0548
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1522
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1740381573
INDIVIDUAL NPI NUMBER
SC
05
—
SAO175
—
SC
Enumeration date
11/18/2006
Last updated
08/22/2020
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