Individual
ABBY BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP, CLC
Contact information
Practice address
989 RIBAUT RD, BEAUFORT, SC 29902-5472
(803) 642-0700
Mailing address
11 EDISTO CT, OKATIE, SC 29909-3754
(330) 858-8455
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4602
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14025603
ASHA
—
01
—
4602
SLP
SC
01
—
ALPP-224987
CERTIFIED LACTATION COUNSELOR
—
Enumeration date
12/09/2010
Last updated
05/04/2017
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