Organization
UPSTATE SPEECHIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER MAHAFFEY SLP (OWNER)
(828) 962-6136
Entity
Organization
Contact information
Practice address
20 PALM ST, GREENVILLE, SC 29607-2037
(828) 962-6136
Mailing address
20 PALM ST, GREENVILLE, SC 29607-2037
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SA1878
—
SC
Enumeration date
09/03/2019
Last updated
09/03/2019
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