Individual
NEVADA POITEVENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25 WOODS LAKE RD STE 709, GREENVILLE, SC 29607-2765
(864) 905-2090
(864) 900-0336
Mailing address
25 WOODS LAKE RD STE 709, GREENVILLE, SC 29607-2765
(864) 905-2090
(864) 900-0336
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8432
SC
Other
Enumeration date
03/12/2025
Last updated
03/12/2025
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