Individual
MRS. RACHEL LYSZCZYK ROESCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
783 STEBBINS ST, CHARLESTON, SC 29412-4217
(704) 785-1036
(252) 525-4848
Mailing address
783 STEBBINS ST, CHARLESTON, SC 29412-4217
(704) 785-1036
(252) 525-4848
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5758
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SA2000
—
SC
Enumeration date
06/15/2015
Last updated
05/22/2019
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