Individual
MRS. LISA HAWKINS STALLINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSP, CCC-SLP
Contact information
Practice address
8 SUMMIT PL, COLUMBIA, SC 29204-2401
(803) 799-0077
Mailing address
4 ROSE HAVEN CT, BLYTHEWOOD, SC 29016-8233
(803) 754-4658
(803) 691-0579
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3021
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SAO344
—
SC
Enumeration date
04/11/2007
Last updated
07/08/2007
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