Organization
KIDTALK,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA M DALZELL MCD,CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST/ OWNER)
(803) 464-5850
Entity
Organization
Contact information
Practice address
630 SHIPWATCH DR, SUMTER, SC 29154-6087
(803) 464-5850
(803) 481-9549
Mailing address
630 SHIPWATCH DR, SUMTER, SC 29154-6087
(803) 464-5850
(803) 481-9549
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
3891
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1326149824
INDIVIDUAL NPI
SC
Enumeration date
03/19/2008
Last updated
03/19/2008
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