Individual
MRS. CATHY WALL DELOACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SPEECH PATHOLOGIST
Contact information
Practice address
463 BAKER BLVD, ESTILL, SC 29918-3365
(803) 942-2374
Mailing address
463 BAKER BLVD, P O BOX 755, ESTILL, SC 29918-3365
(803) 942-2374
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4404
SC
Other
Enumeration date
09/20/2010
Last updated
09/20/2010
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