Organization
PEDIATRIC SUPPORT AND INTERVENTION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOURDAN SALAS M.A., CCC-SLP (OWNER/SPEECH-LANGUAGE PATHOLOGIST)
(561) 212-0775
Entity
Organization
Contact information
Practice address
10 HARRIS LN, GREENVILLE, SC 29607-1719
(561) 212-0775
Mailing address
10 HARRIS LN, GREENVILLE, SC 29607-1719
(561) 212-0775
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/27/2026
Last updated
05/27/2026
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