Individual
MRS. MARY J AITCHISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2 MEDICAL PARK RD, SUITE 302, COLUMBIA, SC 29203-6808
(803) 256-2657
(803) 434-7349
Mailing address
2 MEDICAL PARK RD, SUITE 402, COLUMBIA, SC 29203-6808
(803) 256-2657
(803) 434-7349
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2882
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SA0334
—
SC
Enumeration date
04/26/2006
Last updated
06/26/2008
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