Organization
CONNECT TELEPRACTICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NANCY EDITH CROOK MS CCC-SLP (SPEECH LANGUAGE PATHOLOGIST/ OWNER)
(631) 901-3900
Entity
Organization
Contact information
Practice address
200 BRECKINGRIDGE DR, LADSON, SC 29456-3951
(631) 901-3900
Mailing address
200 BRECKINGRIDGE DR, LADSON, SC 29456-3951
(631) 901-3900
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1831409549
NPI
NY
Enumeration date
03/06/2023
Last updated
03/06/2023
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