Individual
MRS. BETH D KOPHAZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MCD
Contact information
Practice address
111 S CONGRESS ST, YORK, SC 29745-1836
(803) 684-0035
Mailing address
111 S CONGRESS ST, YORK, SC 29745-1836
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
1405296
NC
235Z00000X
Speech-Language Pathologist
Primary
SLP.5557 SLP
SC
Other
Enumeration date
05/29/2014
Last updated
08/20/2014
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