Individual
BEVERLY PITTARD FLEMING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
18 ROCKHAMPTON DR, GREENVILLE, SC 29607-6434
(864) 275-2510
(864) 627-8531
Mailing address
18 ROCKHAMPTON DR, GREENVILLE, SC 29607-6434
(864) 275-2510
(864) 627-8531
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4626
SC
235Z00000X
Speech-Language Pathologist
6404
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7412193
—
NC
05
—
SA1082
—
SC
Enumeration date
12/19/2006
Last updated
08/26/2010
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