Individual
BRICE VAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SLP
Contact information
Practice address
128 GARNER RD, SPARTANBURG, SC 29303-3149
(864) 591-3484
(864) 641-7650
Mailing address
PO BOX 170606, SPARTANBURG, SC 29301-0030
(864) 591-3484
(864) 641-7650
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7777
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7777
SCLLR
SC
Enumeration date
07/21/2022
Last updated
07/21/2022
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