Individual
MRS. EBONY MEANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
229 KENMORE PARK DR, COLUMBIA, SC 29223-8253
(803) 319-7529
Mailing address
229 KENMORE PARK DR, COLUMBIA, SC 29223-8253
(803) 319-7529
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4882
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP8198
—
SC
05
—
SA1432
—
SC
Enumeration date
11/05/2007
Last updated
01/14/2020
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