Individual
ANDREA MAKSIMOWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSP CCC SLP
Contact information
Practice address
75 CALHOUN ST, CHARLESTON, SC 29401-3538
(843) 937-6700
Mailing address
75 CALHOUN ST, CHARLESTON, SC 29401-3538
(843) 937-6700
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SA0537
—
SC
Enumeration date
09/21/2006
Last updated
12/18/2013
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