Individual
REBECCA STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
2018 FAIRWAY DR, LANCASTER, SC 29720-8419
(843) 455-7505
(866) 668-9946
Mailing address
2018 FAIRWAY DR, LANCASTER, SC 29720-8419
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
637
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SA0101
—
SC
Enumeration date
06/21/2006
Last updated
07/08/2007
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