Individual
ELISA FUMIKO PAVIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1127 QUEENSBOROUGH BLVD STE 104, MOUNT PLEASANT, SC 29464-5431
(843) 496-8052
Mailing address
3564 HUNTERS OAK LN, JOHNS ISLAND, SC 29455-8147
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8986
SC
Other
Enumeration date
08/11/2025
Last updated
08/11/2025
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