Organization
CHILDREN'S CHATTER, SPEECH-LANGUAGE THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SARAH KOMORNIK SMITH MSP, CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(803) 622-7939
Entity
Organization
Contact information
Practice address
28 KITFOX CT, CHAPIN, SC 29036-7324
(803) 622-7939
Mailing address
28 KITFOX CT, CHAPIN, SC 29036-7324
(803) 622-7939
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3902
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083697767
INDIVIDUAL NPI NUMBER
SC
05
—
SA0713
—
SC
Enumeration date
06/29/2008
Last updated
06/29/2008
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