Individual
MR. DAVID ALAN EOUTE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSP, SLP-CFY
Contact information
Practice address
1601 SAINT JULIAN PL, COLUMBIA, SC 29204-2407
(803) 777-2614
(803) 253-4143
Mailing address
1601 SAINT JULIAN PL, COLUMBIA, SC 29204-2407
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4191
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1558331264
NPPES
—
Enumeration date
08/13/2008
Last updated
08/13/2008
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