Individual
MRS. ELIZABETH VERDELL WALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED, CCC-SLP
Contact information
Practice address
361 SHALLOWFORD DR, BOILING SPRINGS, SC 29316-5801
(864) 814-2649
Mailing address
361 SHALLOWFORD DR, BOILING SPRINGS, SC 29316-5801
(864) 814-2649
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3768
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SAO723
—
SC
Enumeration date
07/12/2006
Last updated
07/09/2007
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