Individual
MRS. ANGELA RENEE PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
158 PECAN DR, SUMMERVILLE, SC 29483-5090
(843) 875-1605
Mailing address
158 PECAN DR, SUMMERVILLE, SC 29483-5090
(843) 875-1605
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3259
SC
Other
Enumeration date
05/13/2022
Last updated
05/13/2022
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