Individual
MS. LAURA A GEARHEART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC SLP
Contact information
Practice address
3000 SAINT MATTHEWS RD, ORANGEBURG, SC 29118-1442
(803) 395-2717
(803) 395-4376
Mailing address
101 DRAGONFLY CT, ORANGEBURG, SC 29118-0906
(803) 395-2717
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2364
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SA0146
—
SC
Enumeration date
12/01/2006
Last updated
07/09/2007
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