Individual
CAROL HERD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
180 WATERHALL DR, MURRELLS INLET, SC 29576-8963
(843) 455-7505
(866) 668-9946
Mailing address
180 WATERHALL DR, MURRELLS INLET, SC 29576-8963
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3467
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SA0498
—
SC
Enumeration date
06/06/2006
Last updated
07/08/2007
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