Individual
LISA BAUMHOFER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
507 WATTS AVE, GREENVILLE, SC 29601-4357
(864) 313-1219
(864) 242-2318
Mailing address
PO BOX 8483, GREENVILLE, SC 29604-8483
(864) 313-1219
(864) 242-2318
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3253
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SA0396
—
SC
Enumeration date
05/12/2006
Last updated
07/09/2007
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