Individual
JOHANNA MOELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CF-SLP
Contact information
Practice address
8703 HIGHWAY 17 BYPASS S, SUITE I, MYRTLE BEACH, SC 29575
(843) 457-1053
(843) 215-2910
Mailing address
8703 HIGHWAY 17 BYPASS S, SUITE I, MYRTLE BEACH, SC 29575
(843) 457-1053
(843) 215-2910
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP.6224.SPIN
SC
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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