Organization
PEDIATRIC SPEECH THERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARYMAC WILLIAMS MA, CCC/SLP (SPEECH-LANGUAGE PATHOLOGIST)
(803) 315-5252
Entity
Organization
Contact information
Practice address
820 KIPLING DR, COLUMBIA, SC 29205-2036
(803) 315-5252
(803) 787-2973
Mailing address
820 KIPLING DR, COLUMBIA, SC 29205-2036
(803) 315-5252
(803) 787-2973
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3360
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SA0726
—
SC
Enumeration date
08/24/2009
Last updated
08/24/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us