Individual
KRISTEN CIOCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
9225 UNIVERSITY BLVD STE E2C, NORTH CHARLESTON, SC 29406-9149
(843) 569-4546
(843) 569-4535
Mailing address
9225 UNIVERSITY BLVD STE E2C, NORTH CHARLESTON, SC 29406-9149
(843) 569-4546
(843) 569-4535
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9117
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13792137
CAQH
—
05
—
SA2141
—
SC
Enumeration date
03/03/2016
Last updated
03/16/2020
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