Individual
LOGAN DOUGLASS HYDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2720 SUNSET BLVD, WEST COLUMBIA, SC 29169-4810
(803) 791-2000
Mailing address
1556 SHADY LN, COLUMBIA, SC 29206-4635
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
03/30/2022
Last updated
12/15/2023
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